Active NPI
Kishanda Larrette Montes
- Non-emergency Medical Transport (VAN)
- Vauxhall, NJ
National Provider Identifier
1477314508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Practice address
- 292 Oregon St
Vauxhall, NJ 07088-1319 - Phone
- (908) 378-5357
- NPI assigned
- Jan 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Taxi | 344600000X | |||
| Private Vehicle | 347C00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
292 Oregon St
Vauxhall, NJ 07088-1319
Mailing address
1146 Liberty Avenue
PO Box 5823
Hillside, NJ 07205
Phone (908) 378-5357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1477314508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1146 LIBERTY AVENUE",
"address_2": "PO BOX 5823",
"city": "HILLSIDE",
"state": "NJ",
"postal_code": "07205",
"telephone_number": "908-378-5357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 OREGON ST",
"city": "VAUXHALL",
"state": "NJ",
"postal_code": "070881319",
"telephone_number": "908-378-5357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTES",
"first_name": "KISHANDA",
"middle_name": "LARRETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-16",
"last_updated": "2024-03-26",
"certification_date": "2024-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vauxhall, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.