Prime Mobility Assist. Vehicle Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

PRIME MOBILITY ASSIST. VEHICLE INC

Practice address

39 Terhune Ave
Jersey City, NJ 07305-2009

Phone

(201) 435-3388

Fax

(201) 435-5700

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Enrico L Llanes

Title

President

Phone

(201) 435-3388

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1497927198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 TERHUNE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052009",
            "telephone_number": "201-435-3388",
            "fax_number": "201-435-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 TERHUNE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052009",
            "telephone_number": "201-435-3388",
            "fax_number": "201-435-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MOBILITY ASSIST. VEHICLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "LLANES",
        "authorized_official_first_name": "ENRICO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-435-3388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7694202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primed Health LLC
• Professional Mobile Diagnostic Imaging LLC
• Progressive Solutions Counseling Center

• Non-emergency Medical Transport (VAN) in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Non-emergency Medical Transport (VAN) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.