KMT Transportation

Primary specialty

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

License

0442012 Issued in NJ

Legal business name

KMT TRANSPORTATION

Practice address

7445 Githens Ave
Pennsauken, NJ 08109-3161

Phone

(856) 281-4496

NPI assigned

Jul 10, 2018

Organization subpart

No

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

Authorized official

Name

Khaled B Tigourti

Title

Ceo

Phone

(856) 281-4496

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1710473053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7445 GITHENS AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081093161",
            "telephone_number": "856-281-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 GITHENS AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081093161",
            "telephone_number": "856-281-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMT TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "TIGOURTI",
        "authorized_official_first_name": "KHALED",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-281-4496"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NJ",
            "license": "0442012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442012",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlon Ingaywa Kidiiga, PHARM.D.
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• Taniyah King-Pulliam
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• Gabrielle Kissi
• Carol A Kopil
• William Karl Krampitz, NREMT
• Kalissa Krapf
• Shane Labenski
• Thao Lam

• Non-emergency Medical Transport (VAN) in Pennsauken, NJ
• Providers in Pennsauken, 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 Mar 8, 2021; 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.