Interstate Medical Transporation Inc.

Primary specialty

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

License

INPERST05 Issued in NJ

Legal business name

INTERSTATE MEDICAL TRANSPORATION INC.

Practice address

525 Milltown Rd
Suite 108
North Brunswick, NJ 08902-3317

Phone

(732) 249-1924

Fax

(732) 418-1976

NPI assigned

Apr 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jorge Moralese-Strada

Title

Owner

Phone

(732) 249-1924

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639392087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 MILLTOWN RD",
            "address_2": "SUITE 108",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023317",
            "telephone_number": "732-249-1924",
            "fax_number": "732-418-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 MILLTOWN RD",
            "address_2": "SUITE 108",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023317",
            "telephone_number": "732-249-1924",
            "fax_number": "732-418-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERSTATE MEDICAL TRANSPORATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORALESE-STRADA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-249-1924",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NJ",
            "license": "INPERST05",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6622305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in North Brunswick, NJ
• Providers in North Brunswick, 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 Aug 22, 2020; 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.