Shack Transport

Primary specialty

TaxiTaxonomy code 344600000X

Legal business name

SHACK TRANSPORT

Practice address

1240 Pensacola Rd
Forked River, NJ 08731-5303

Phone

(732) 604-5762

NPI assigned

Nov 12, 2018

Organization subpart

No

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

Authorized official

Name

Victoria Marie Ramirez Diaz

Title

Owner

Phone

(732) 604-5762

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1912475567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 PENSACOLA RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087315303",
            "telephone_number": "732-604-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 PENSACOLA RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087315303",
            "telephone_number": "732-604-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHACK TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ DIAZ",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-604-5762"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Taxi in Forked River, NJ
• Providers in Forked River, NJ by specialty
• Taxi in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.