Organization Active NPI

Essex Valley Medical Transportation Services

  • Land Ambulance
  • East Orange, NJ
National Provider Identifier
1467508234
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
ESSE00195 Issued in NJ
Legal business name
ESSEX VALLEY MEDICAL TRANSPORTATION SERVICES
Practice address
300 Central Ave
East Orange, NJ 07018-2819
Phone
(973) 414-3448
Fax
(973) 414-3480
NPI assigned
Jan 26, 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
Mr. Warren George Miller Jr.
Title
Director of Patient Accounts
Phone
(973) 414-3448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X ESSE00195 NJ Primary

Addresses

Primary practice location

300 Central Ave
East Orange, NJ 07018-2819

Mailing address

300 Central Ave
East Orange, NJ 07018-2819
Phone (973) 414-3448

Other identifiers 1

IdentifierTypeStateIssuer
3315801MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467508234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CENTRAL AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182819",
            "telephone_number": "973-414-3448",
            "fax_number": "973-414-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTRAL AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182819",
            "telephone_number": "973-414-3448",
            "fax_number": "973-414-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX VALLEY MEDICAL TRANSPORTATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "973-414-3448",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "ESSE00195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3315801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

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.