Active NPI
Divine Group
- Non-emergency Medical Transport (VAN)
- North Bergen, NJ
National Provider Identifier
1770359457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- DIVINE GROUP
- Practice address
- 4607 Tonnelle Ave Apt 305
North Bergen, NJ 07047-3076 - Phone
- (347) 830-0772
- NPI assigned
- Dec 4, 2023
- Last updated
- Dec 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Musa Giwa
- Title
- Manager
- Phone
- (347) 830-0772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | NU | Primary |
Addresses
Primary practice location
4607 Tonnelle Ave Apt 305
North Bergen, NJ 07047-3076
Mailing address
4607 Tonnelle Ave Apt 305
North Bergen, NJ 07047-3076
Phone (347) 830-0772
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701734400000",
"number": "1770359457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4607 TONNELLE AVE APT 305",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070473076",
"telephone_number": "347-830-0772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4607 TONNELLE AVE APT 305",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070473076",
"telephone_number": "347-830-0772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-04",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A",
"authorized_official_last_name": "GIWA",
"authorized_official_first_name": "MUSA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "347-830-0772"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Bergen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.