Organization Active NPI

SJ Transportation

  • Secured Medical Transport (VAN)
  • Milwaukee, WI
National Provider Identifier
1568646016
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
License
J2507806521506 Issued in WI
Legal business name
SJ TRANSPORTATION
Practice address
2515 N 48TH St
Milwaukee, WI 53210-2846
Phone
(414) 349-3510
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Mr. Sylvester Jackson
Title
President
Phone
(414) 349-3510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X J2507806521506 WI Primary

Addresses

Primary practice location

2515 N 48TH St
Milwaukee, WI 53210-2846

Mailing address

2515 N 48TH St
Milwaukee, WI 53210-2846
Phone (414) 349-3510

Other identifiers 1

IdentifierTypeStateIssuer
41479800MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1568646016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 N 48TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102846",
            "telephone_number": "414-349-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 N 48TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102846",
            "telephone_number": "414-349-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SYLVESTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-349-3510",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "WI",
            "license": "J2507806521506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41479800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.