NPIMap

Organization Active NPI

Magellan Medical Transport

  • Non-emergency Medical Transport (VAN)
  • Parlin, NJ
National Provider Identifier
1699416479
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MAGELLAN MEDICAL TRANSPORT
Doing business as
Magellan Medical Transport
Practice address
313 Check Ave
Parlin, NJ 08859-3193
Phone
(732) 927-3537
NPI assigned
Apr 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Domonique AndersonNPI 1184370520
Title
Managing Partner
Phone
(732) 927-3537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

313 Check Ave
Parlin, NJ 08859-3193

Mailing address

313 Check Ave
Parlin, NJ 08859-3193
Phone (732) 927-3537

Other names 1

  • Magellan Medical Transport Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Parlin

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1699416479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 CHECK AVE",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088593193",
            "telephone_number": "732-927-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 CHECK AVE",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088593193",
            "telephone_number": "732-927-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGELLAN MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DOMONIQUE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "732-927-3537"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Parlin",
            "affiliation": "N",
            "address_1": "313 Check Ave",
            "city": "Parlin",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088593193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Magellan Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.