123 MEDICAL TRANSPORT LLC (NPI# 1548522584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548522584 |
| Entity Type | Organization |
| Organization Name | 123 MEDICAL TRANSPORT LLC |
| Practice Address |
40 Reverend Roberts Place Nutley NJ 07110 |
| Practice Telephone | 9738511422 |
| Practice Fax Number | 9739255212 |
| Mailing Telephone | 9738511422 |
| Mailing Fax Number | 9739255212 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | RINAT SHACHAR (OWNER) |
| Authorized Official Telephone | 9178077220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | C07814107402782 | NJ | Transportation Services |
| Y | 341600000X | Ambulance | Transportation Services |
| Street Address |
40 REVEREND ROBERTS PLACE |
| City | NUTLEY |
| State | NJ |
| Zip Code | 07110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304984 | Nutley Vision LLC | Optometrist | 214 N Franklin Avenue, Nutley, NJ 07110 | 2019-09-06 |
| 1548762073 | Michal Milow Divney | Social Worker | 340 Kingsland St Bldg 123, Nutley, NJ 07110 | 2018-02-28 |
| 1144743162 | Erin Doyle Theodorou | Counselor | 29 Faber Pl, Nutley, NJ 07110 | 2017-07-21 |
| 1134642671 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 150 Kingsland St, Nutley, NJ 07110 | 2017-07-17 |
| 1851811764 | Janet Joke Bamgbade | Social Worker | 21 River Road, Apt. J, Nutley, NJ 07110 | 2017-06-21 |
| 1588190656 | Nutley Vision | Eyewear Supplier (Equipment, not the service) | 214 Franklin Ave., Nutley, NJ 07110 | 2017-05-10 |
| 1043662596 | Angela Furnari-romano | Social Worker | 596 Franklin Ave, Nutley, NJ 07110 | 2016-07-08 |
| 1659720381 | Nutley Adult Day Care Inc | Clinic/Center | 357-361 Harrison St, 1st Floor, Nutley, NJ 07110 | 2016-06-03 |
| 1881055937 | Roman Rubin | Community/Behavioral Health | 263 Hillside Address, 5, Nutley, NJ 07110 | 2016-03-17 |
| 1275937922 | Victoria L Beckerman | Social Worker | 405 Centre St, Nutley, NJ 07110 | 2014-10-09 |
| Find all providers in zip 07110 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
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| 1033749783 | Medrescue Mobile Health Services | Ambulance | 971 Stuyvesant Ave Ste 10, Union, NJ 07083-6907 | 2020-01-22 |
| 1013497056 | Woodland Volunteer Fire & Ems Inc | Ambulance | 13 Lake Drive, Browns Mills, NJ 08015 | 2018-08-20 |
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| 1104319706 | Dorothy Volunteer Fire Company Inc | Ambulance | 70 Tuckahoe Rd, Dorothy, NJ 08317-9703 | 2018-06-08 |
| 1174024764 | City of Sea Isle City | Ambulance | 201 Jfk Blvd, Sea Isle City, NJ 08243 | 2018-02-28 |
| 1275034266 | Rhythm Medical Transportation | Ambulance | 86 Broad St, Freehold, NJ 07728-1907 | 2018-02-24 |
| 1477065928 | Allentown First Aid Squad | Ambulance | 70 Waker Ave, Allentown, NJ 08501-1715 | 2017-10-24 |
| 1497264436 | Lebanon Township Volunteer Fire Department | Ambulance | 532 West Hill Road, Glen Gardner, NJ 08826 | 2017-09-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.