Organization Active NPI

Masstran Corp

  • Non-emergency Medical Transport (VAN)
  • Danvers, MA
National Provider Identifier
1740307305
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MASSTRAN CORP
Practice address
150A Andover St
Suite 5
Danvers, MA 01923-5305
Phone
(978) 223-4020
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Authorized official

Name
Mark Fridmar
Title
President
Phone
(978) 223-4020

Specialties & licenses 1

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

Addresses

Primary practice location

150A Andover St
Suite 5
Danvers, MA 01923-5305

Mailing address

150A Andover St
Suite 5
Danvers, MA 01923-5305
Phone (978) 223-4020

Other identifiers 2

IdentifierTypeStateIssuer
110031343MedicaidMA
30822793MedicaidNH

National Provider Directory

National Provider Directory

Locations

150A Andover St
Ste 5
Danvers, MA 01923
Phone (978) 223-4020

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1740307305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150A ANDOVER ST",
            "address_2": "SUITE 5",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019235305",
            "telephone_number": "978-223-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150A ANDOVER ST",
            "address_2": "SUITE 5",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019235305",
            "telephone_number": "978-223-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSTRAN CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "FRIDMAR",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-223-4020"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110031343",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30822793",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.