Active NPI
123 Medical Transport LLC
- Ambulance
- Belleville, NJ
National Provider Identifier
1548522584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121210000193 | NJ | Part B Supplier - Ambulance Service Supplier | 1850543380 | Practice locations: Belleville, NJ |
National Provider Directory
National Provider DirectoryLocations
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.