Active NPI
Edwina N Villegas
- Non-emergency Medical Transport (VAN)
- Cherry Hill, NJ
National Provider Identifier
1790274397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 2069198
- Practice address
- 815 Fulton St
Cherry Hill, NJ 08002-2615 - Phone
- (856) 910-2442
- Fax
- (856) 330-4923
- NPI assigned
- May 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 2069198 | NJ | Primary |
Addresses
Primary practice location
815 Fulton St
Cherry Hill, NJ 08002-2615
Mailing address
815 Fulton St
Cherry Hill, NJ 08002-2615
Phone (856) 910-2442
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2069198 | NJ | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525824000000",
"number": "1790274397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 FULTON ST",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080022615",
"telephone_number": "856-910-2442",
"fax_number": "856-330-4923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 FULTON ST",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080022615",
"telephone_number": "856-910-2442",
"fax_number": "856-330-4923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLEGAS",
"first_name": "EDWINA",
"middle_name": "N",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-09",
"last_updated": "2018-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NJ",
"license": "2069198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.