Med-Port Transportation Serv

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

MEDP000 Issued in NJ

Legal business name

MED-PORT TRANSPORTATION SERV

Practice address

57 Duffield Dr
South Orange, NJ 07079-1015

Phone

(973) 762-9314

Fax

(973) 762-9257

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Sumeer Toteja

Title

Billing Manager

Phone

(732) 906-1800

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1679764377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 DUFFIELD DR",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791015",
            "telephone_number": "973-762-9314",
            "fax_number": "973-762-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 DUFFIELD DR",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791015",
            "telephone_number": "973-762-9314",
            "fax_number": "973-762-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-PORT TRANSPORTATION SERV",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "TOTEJA",
        "authorized_official_first_name": "SUMEER",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "732-906-1800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "MEDP000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Land Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.