Shirley Laticia Purnell II

Primary specialty

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

License

3439-NON EMERGENCY M Issued in NJ

Practice address

142 Armstrong Ave
Jersey City, NJ 07305-3003

Phone

(201) 918-8600

Fax

(201) 434-1599

NPI assigned

Mar 31, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1922270974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 ARMSTRONG AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073053003",
            "telephone_number": "201-918-8600",
            "fax_number": "201-434-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 ARMSTRONG AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073053003",
            "telephone_number": "201-918-8600",
            "fax_number": "201-434-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURNELL",
        "first_name": "SHIRLEY",
        "middle_name": "LATICIA",
        "name_prefix": "Ms.",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NJ",
            "license": "3439-NON EMERGENCY M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Jersey City, NJ
• Providers in Jersey City, 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 Mar 31, 2008; 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.