Destiny Transportation SVC

Primary specialty

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

License

0400410271 Issued in NJ

Legal business name

DESTINY TRANSPORTATION SVC

Practice address

51 JFK Parkway
First Floor West
Short Hills, NJ 07078-5602

Phone

(973) 218-2674

NPI assigned

May 9, 2011

Organization subpart

No

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

Authorized official

Name

Miranda Wideman

Title

Authorized Representative

Phone

(866) 698-0052

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1972895043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 LEXINGTON PL",
            "address_2": "2R",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072082701",
            "telephone_number": "908-414-1376",
            "fax_number": "908-235-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 JFK PARKWAY",
            "address_2": "FIRST FLOOR WEST",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070785602",
            "telephone_number": "973-218-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY TRANSPORTATION SVC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "WIDEMAN",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "866-698-0052"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NJ",
            "license": "0400410271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Short Hills, NJ
• Providers in Short Hills, 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 May 9, 2011; 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.