Organization
123 MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RINAT SHACHAR (OWNER)
(917) 807-7220
Entity
Organization
Contact information
Practice address
321 FRANKLIN AVE, BELLEVILLE, NJ 07109-1703
(973) 851-1422
(973) 925-5212
Mailing address
321 FRANKLIN AVE, BELLEVILLE, NJ 07109-1703
(973) 851-1422
(973) 925-5212
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
C07814107402782
NJ
Other
Enumeration date
06/14/2012
Last updated
08/26/2025
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