Organization Active NPI

Medjai Medical Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Fairfax, VA
National Provider Identifier
1467016394
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MEDJAI MEDICAL TRANSPORTATION LLC
Practice address
3057 Nutley St Ste 181
Fairfax, VA 22031-1931
Phone
(240) 812-2000
NPI assigned
Apr 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Mr. William Epps
Title
Ceo
Phone
(240) 812-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

3057 Nutley St Ste 181
Fairfax, VA 22031-1931

Mailing address

3057 Nutley St Ste 181
Fairfax, VA 22031-1931
Phone (240) 812-2000

Other practice location 1

6551 Britannic Pl
Frederick, MD 21703-2751
Phone (240) 812-2000

National Provider Directory

National Provider Directory

Locations

3057 Nutley St
Fairfax, VA 22031
Phone (240) 812-2000

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1467016394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3057 NUTLEY ST STE 181",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311931",
            "telephone_number": "240-812-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 NUTLEY ST STE 181",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311931",
            "telephone_number": "240-812-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6551 Britannic Pl",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217032751",
            "country_code": "US",
            "telephone_number": "240-812-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDJAI MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "EPPS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-812-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.