Emmanuel M Kullie

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

K92202257409922 Issued in NJ

Practice address

185 Glenwood Ave
East Orange, NJ 07017-2009

Phone

(973) 687-8356

NPI assigned

Aug 23, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mulubah Portage LLC

  • Non-emergency Medical Transport (VAN)
  • East Orange, NJ
  • NPI 1285445866
  NPD Authorized official

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1912730953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 GLENWOOD AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070172009",
            "telephone_number": "973-687-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 GLENWOOD AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070172009",
            "telephone_number": "973-687-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULLIE",
        "first_name": "EMMANUEL",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NJ",
            "license": "K92202257409922",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NJ",
            "license": "K92202257409922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora D Krick, NP
• Lisa Krijger, M.D.
• Lalitha Krishnan, MD
• Chana Baila Krupka, PHD
• Lauren Kulik, RDN
• Abby Kurien
• Danielle M Kurlander, PSYD
• Marianne Kutza, PHYSICIAN ASSISTANT
• Kwenyan Professional Health Services, LLC
• Kwenyan Professional Health Services, LLC

• Non-emergency Medical Transport (VAN) in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Non-emergency Medical Transport (VAN) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.