Metropolitan Med Transportation Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

N0313054 Issued in NJ

Legal business name

METROPOLITAN MED TRANSPORTATION INC.

Practice address

110 Coxs Ave
Unit 10
West Creek, NJ 08092-3233

Phone

(609) 296-0625

Fax

(609) 257-0959

NPI assigned

Jul 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Iliya Rezvine

Title

Vice-President

Phone

(609) 296-0625

Specialties & licenses 2

Addresses

Other names 1

• Northeast Metro Ambulances Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1538368998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 N MAIN ST",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052143",
            "telephone_number": "609-296-0625",
            "fax_number": "609-257-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COXS AVE",
            "address_2": "UNIT 10",
            "city": "WEST CREEK",
            "state": "NJ",
            "postal_code": "080923233",
            "telephone_number": "609-296-0625",
            "fax_number": "609-257-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN MED TRANSPORTATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "REZVINE",
        "authorized_official_first_name": "ILIYA",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "609-296-0625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "N0313054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Metro Ambulances",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northeast Metro Ambulances",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gerri Hoegler, LPC
• Michelle Holler
• Karen Cooney Holistic Health LLC
• Lauren Marie McGuire, MS CF-SLP
• Kevin McKnight, ATC
• Toni Mullin, OTR/L
• Meghan Noonan
• Kristy Pantano, M.A. CCC-SLP
• Samantha Placanica
• Julie Rehrig, MS CCC-SLP

• Land Ambulance in West Creek, NJ
• Providers in West Creek, NJ by specialty
• Land Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.