Active NPI
Ramzi Jibril
- Non-emergency Medical Transport (VAN)
- Robbinsdale, MN
National Provider Identifier
1770939795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Practice address
- 4300 Grimes Ave N
Robbinsdale, MN 55422-1569 - Phone
- (651) 332-4473
- Fax
- (651) 305-1050
- NPI assigned
- May 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | MN | ||
| Non-emergency Medical Transport (VAN) | 343900000X | MN | Primary |
Addresses
Primary practice location
4300 Grimes Ave N
Robbinsdale, MN 55422-1569
Mailing address
4300 Grimes Ave N
Robbinsdale, MN 55422-1569
Phone (651) 332-4473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463097600000",
"number": "1770939795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 GRIMES AVE N",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554221569",
"telephone_number": "651-332-4473",
"fax_number": "651-305-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 GRIMES AVE N",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554221569",
"telephone_number": "651-332-4473",
"fax_number": "651-305-1050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIBRIL",
"first_name": "RAMZI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-09",
"last_updated": "2016-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "MN",
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Robbinsdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.