Eagle Tes Medical Transportation

Primary specialty

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

Legal business name

EAGLE TES MEDICAL TRANSPORTATION

Practice address

2978 Kennedy Blvd Ste 195
Jersey City, NJ 07306-3820

Phone

(201) 478-2584

NPI assigned

Jun 20, 2012

Organization subpart

No

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

Authorized official

Name

Basmat Abushanab, MT

Title

Ceo-Owner

Phone

(201) 478-2584

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1588927032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2978 KENNEDY BLVD STE 195",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063820",
            "telephone_number": "201-478-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2978 KENNEDY BLVD STE 195",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063820",
            "telephone_number": "201-478-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE TES MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "ABUSHANAB",
        "authorized_official_first_name": "BASMAT",
        "authorized_official_title_or_position": "CEO-OWNER",
        "authorized_official_telephone_number": "201-478-2584",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "NJ",
            "license": "0400497218",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jun 20, 2012; 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.