# 123 MEDICAL TRANSPORT LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548522584
- **Authorized official:** RINAT SHACHAR (OWNER)
- **Authorized official phone:** (917) 807-7220

## Contact information

- **Practice address:** 321 FRANKLIN AVE, BELLEVILLE, NJ 07109-1703
- **Practice address phone:** (973) 851-1422
- **Practice address fax:** (973) 925-5212
- **Mailing address:** 321 FRANKLIN AVE, BELLEVILLE, NJ 07109-1703
- **Mailing address phone:** (973) 851-1422
- **Mailing address fax:** (973) 925-5212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | — | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | C07814107402782 | NJ | — |

## Other

- **Enumeration date:** 06/14/2012
- **Last updated:** 08/26/2025