Organization Active NPI

Eastern Massachusetts Transportation Service, Inc799.

  • Secured Medical Transport (VAN)
  • Watertown, MA
National Provider Identifier
1447473558
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
License
1721321 Issued in MA
Legal business name
EASTERN MASSACHUSETTS TRANSPORTATION SERVICE, INC799.
Practice address
4 Carroll St
Watertown, MA 02472-3332
Phone
(617) 332-3280
Fax
(617) 783-6387
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Gyulnara M Bayryshova
Title
President
Phone
(617) 332-3280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X 1721321 MA Primary

Addresses

Primary practice location

4 Carroll St
Watertown, MA 02472-3332

Mailing address

4 Carroll St
Watertown, MA 02472-3332
Phone (617) 332-3280

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447473558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CARROLL ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723332",
            "telephone_number": "617-332-3280",
            "fax_number": "617-783-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CARROLL ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723332",
            "telephone_number": "617-332-3280",
            "fax_number": "617-783-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN MASSACHUSETTS TRANSPORTATION SERVICE, INC799.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAYRYSHOVA",
        "authorized_official_first_name": "GYULNARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-332-3280",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "MA",
            "license": "1721321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.