Blueprint Medical Transport

Primary specialty

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

Legal business name

BLUEPRINT MEDICAL TRANSPORT

Practice address

398 Park Ave
East Orange, NJ 07017-2573

Phone

(973) 380-1007

Fax

(973) 513-6112

NPI assigned

Dec 13, 2022

Organization subpart

No

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

Authorized official

Name

Bradley Woodson

Title

Owner

Phone

(973) 380-1007

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1992416705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 PARK AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070172573",
            "telephone_number": "973-380-1007",
            "fax_number": "973-513-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 PARK AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070172573",
            "telephone_number": "973-380-1007",
            "fax_number": "973-513-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEPRINT MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "WOODSON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-380-1007"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irona Blackellar
• Stacey Melissa Blackman, APN
• Blessed Assurance Home Health Aid
• Mariane Blouin-Gascon
• Chesney Blue, RD
• Daniel Jack Blumenfeld, M.D.
• Marvin Joseph Blumenfrucht, M.D.
• BMG East Orange LLC
• Catherine Bobenich
• Ann Boby Mathews

• 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 Dec 13, 2022; 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.