Organization Active NPI

123 Medical Transport LLC

  • Ambulance
  • Belleville, NJ
National Provider Identifier
1548522584
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
123 MEDICAL TRANSPORT LLC
Practice address
321 Franklin Ave
Belleville, NJ 07109-1703
Phone
(973) 851-1422
Fax
(973) 925-5212
NPI assigned
Jun 14, 2012
Last updated
Aug 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Authorized official

Name
Rinat Shachar
Title
Owner
Phone
(917) 807-7220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary
Non-emergency Medical Transport (VAN) 343900000X C07814107402782 NJ

Addresses

Primary practice location

321 Franklin Ave
Belleville, NJ 07109-1703

Mailing address

321 Franklin Ave
Belleville, NJ 07109-1703
Phone (973) 851-1422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121210000193 NJ Part B Supplier - Ambulance Service Supplier 1850543380 Practice locations: Belleville, NJ

National Provider Directory

National Provider Directory

Locations

321 Franklin Ave
Belleville, NJ 07109
Phone (973) 851-1422

40 Reverend Roberts Pl
Nutley, NJ 07110
Phone (973) 851-1422

628 E 19th St
Paterson, NJ 07514
Phone (973) 851-1422

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1548522584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 FRANKLIN AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091703",
            "telephone_number": "973-851-1422",
            "fax_number": "973-925-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 FRANKLIN AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091703",
            "telephone_number": "973-851-1422",
            "fax_number": "973-925-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "123 MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "SHACHAR",
        "authorized_official_first_name": "RINAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-807-7220"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NJ",
            "license": "C07814107402782",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.