1568528438 NPI number — QUALITY MEDICAL TRANSPORT, INC.

Table of content: (NPI 1568528438)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568528438 NPI number — QUALITY MEDICAL TRANSPORT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
QUALITY MEDICAL TRANSPORT, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568528438
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/30/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 320
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BAYVILLE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08721
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-606-1900
Provider Business Mailing Address Fax Number:
732-606-6094

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
761 ATLANTIC CITY BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BAYVILLE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08721-2538
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-606-1900
Provider Business Practice Location Address Fax Number:
732-606-6094
Provider Enumeration Date:
12/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MURANTE
Authorized Official First Name:
SALVATORE
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
732-606-1900

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  QUAL00480 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0469889 . This is a "AETNA PROVIDER NUMBER" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 047365600 . This is a "AMERIHEALTH PROVIDER" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 91000204300 . This is a "AMERICHOICE PROVIDER NUMB" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: AO598 . This is a "EMPIRE NUMBER" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 580008848 . This is a "RAIL ROAD MEDICARE PROVID" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1043733 . This is a "HORIZON MERCY PROVIDER NU" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 5380308 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 58842 . This is a "AMERIGROUP PROVIDER NUMBE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: A973097 . This is a "UNIVERSITY HEALTH PLAN ID" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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