Organization Active NPI

Pro Med Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Forked River, NJ
National Provider Identifier
1902405970
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PRO MED TRANSPORTATION, LLC
Practice address
1044 Lacey Rd Ste 11
Forked River, NJ 08731-1051
Phone
(609) 271-6203
NPI assigned
Oct 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Samuel Hanna
Title
Ceo
Phone
(609) 271-6203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1044 Lacey Rd Ste 11
Forked River, NJ 08731-1051

Mailing address

1044 Lacey Rd Ste 11
Forked River, NJ 08731-1051
Phone (609) 271-6203

National Provider Directory

National Provider Directory

Locations

1044 Lacey Rd
Ste 11
Forked River, NJ 08731
Phone (609) 271-6203

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1902405970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 LACEY RD STE 11",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311051",
            "telephone_number": "609-271-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 LACEY RD STE 11",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311051",
            "telephone_number": "609-271-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO MED TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-271-6203"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.