Organization Active NPI

Ambivan Medical Transportation Service Inc.

  • Transportation Broker
  • Camden, NJ
National Provider Identifier
1699892786
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
AMBIVAN MEDICAL TRANSPORTATION SERVICE INC.
Doing business as
Ambivan
Practice address
1492 Haddon Ave.
Camden, NJ 08103-3121
Phone
(856) 541-1500
Fax
(856) 541-1494
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Kathy Hainsworth, EMT
Title
President
Phone
(856) 541-1500

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X AMBI00034 NJ
Land Ambulance 3416L0300X AMBI00034 NJ
Secured Medical Transport (VAN) 343800000X AMBI00034 NJ
Non-emergency Medical Transport (VAN) 343900000X AMBI00034 NJ
Taxi 344600000X
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

1492 Haddon Ave.
Camden, NJ 08103-3121

Mailing address

PO Box 51
Audubon, NJ 08106-0051
Phone (856) 541-1500

Other identifiers 1

IdentifierTypeStateIssuer
2922606MedicaidNJ

Other names 1

  • Ambivan Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1699892786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081060051",
            "telephone_number": "856-541-1500",
            "fax_number": "856-541-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 HADDON AVE.",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033121",
            "telephone_number": "856-541-1500",
            "fax_number": "856-541-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBIVAN MEDICAL TRANSPORTATION SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HAINSWORTH",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-541-1500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "AMBI00034",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "AMBI00034",
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "NJ",
            "license": "AMBI00034",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NJ",
            "license": "AMBI00034",
            "primary": false
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2922606",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambivan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.