Organization Active NPI

Divine Group

  • Non-emergency Medical Transport (VAN)
  • North Bergen, NJ
National Provider Identifier
1770359457
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.