NPIMap

Organization Active NPI

Executive Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Paterson, NJ
National Provider Identifier
1730439415
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
EXECUTIVE MEDICAL TRANSPORTATION
Practice address
318 21St Ave
Suite 318
Paterson, NJ 07501-3538
Phone
(787) 466-6200
NPI assigned
Sep 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Ana Virginia De la Cruz
Title
Ower
Phone
(787) 466-6200

Specialties & licenses 1

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

Addresses

Primary practice location

318 21St Ave
Suite 318
Paterson, NJ 07501-3538

Mailing address

318 21St Ave
Suite 318
Paterson, NJ 07501-3538

National Provider Directory

National Provider Directory
Tax ID family
Executive Diagnosis Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1730439415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 21ST AVE",
            "address_2": "SUITE 318",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075013538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 21ST AVE",
            "address_2": "SUITE 318",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075013538",
            "telephone_number": "787-466-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "787-466-6200"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.