Individual provider Active NPI

Jamal Gelle, BS AND HALF MBA

  • Non-emergency Medical Transport (VAN)
  • Minneapolis, MN
National Provider Identifier
1720445489
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
3845 Hiawatha Ave
Apt 336
Minneapolis, MN 55406-3495
Phone
(408) 896-7651
Fax
(612) 293-0093
NPI assigned
Jan 25, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Specialties & licenses 1

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

Addresses

Primary practice location

3845 Hiawatha Ave
Apt 336
Minneapolis, MN 55406-3495

Mailing address

3845 Hiawatha Ave
Apt 336
Minneapolis, MN 55406-3495
Phone (408) 896-7651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science, Master of Business Administration

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1720445489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 HIAWATHA AVE",
            "address_2": "APT 336",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063495",
            "telephone_number": "408-896-7651",
            "fax_number": "612-293-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 HIAWATHA AVE",
            "address_2": "APT 336",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063495",
            "telephone_number": "408-896-7651",
            "fax_number": "612-293-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLE",
        "first_name": "JAMAL",
        "credential": "BS AND HALF MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.