Nightstar Blends Transport LLC

Primary specialty

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

Legal business name

NIGHTSTAR BLENDS TRANSPORT LLC

Practice address

60 Evergreen PL Ste 200
East Orange, NJ 07018-2114

Phone

(973) 678-3966

NPI assigned

May 24, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Jameel Tariq Sirman

Title

Owner / Ceo

Phone

(973) 955-8234

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1750073946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 CLINTON AVE APT 12",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071081889",
            "telephone_number": "973-955-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EVERGREEN PL STE 200",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182114",
            "telephone_number": "973-678-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHTSTAR BLENDS TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "SIRMAN",
        "authorized_official_first_name": "JAMEEL",
        "authorized_official_middle_name": "TARIQ",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "973-955-8234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in East Orange, NJ
• Providers in East Orange, 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 May 24, 2023; 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.