Grand Medical Transportation

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

GRAND MEDICAL TRANSPORTATION

Practice address

149 Coit St
Irvington, NJ 07111-4104

Phone

(973) 953-5000

NPI assigned

Apr 7, 2009

Last updated

Nov 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nnanna Charles Okoro

Title

Chief Excecutive Officer

Phone

(224) 717-1629

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1790928711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 COIT ST",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071114104",
            "telephone_number": "973-953-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 COIT ST",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071114104",
            "telephone_number": "973-953-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "OKORO",
        "authorized_official_first_name": "NNANNA",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CHIEF EXCECUTIVE OFFICER",
        "authorized_official_telephone_number": "224-717-1629"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Irvington, NJ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.