123 MEDICAL TRANSPORT LLC
NPI 1548522584
Ambulance in Belleville, NJ

Active since June 14, 2012
321 FRANKLIN AVE, BELLEVILLE, NJ 07109(973) 851-1422(973) 925-5212 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 10, 2022, Nov 5, 2020 (2 updates tracked since 2020).

About 123 Medical Transport Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

123 MEDICAL TRANSPORT LLC (NPI 1548522584) is a healthcare organization registered as an ambulance in Belleville, New Jersey and active in the NPI registry since June 2012. The organization lists Rinat Shachar, Owner, as its authorized official.

NPPES Registry Identity

NPI1548522584
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business Name123 MEDICAL TRANSPORT LLC
Location Address321 FRANKLIN AVEBelleville, NJ 07109-1703
Mailing Address321 Franklin AveBelleville, NJ 07109-1703 · (973) 851-1422 · Fax (973) 925-5212
Fax(973) 925-5212
Organization SubpartNo
Authorized OfficialRinat ShacharOwner · (917) 807-7220
Enumeration DateJune 14, 2012
Last NPPES UpdateAugust 26, 20252 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
✔ NPI 1548522584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
Definition
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).
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X · License C07814107402782 (NJ)
321 FRANKLIN AVE, Belleville, NJ 07109

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

123 Medical Transport Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20121210000193Non-DME Part B · Ambulance Service SupplierDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
27,707 services108 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
13,005 services108 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
29 services24 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 123 Medical Transport LLC's NPI number?

The NPI number for 123 Medical Transport LLC is 1548522584. It was assigned to this organization in the NPPES registry on June 14, 2012.

Where is 123 Medical Transport LLC located?

123 Medical Transport LLC is located at 321 Franklin Ave, Belleville, NJ 07109. The listed phone number is (973) 851-1422.

What is 123 Medical Transport LLC's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Is 123 Medical Transport LLC enrolled in Medicare?

Yes. 123 Medical Transport LLC is registered in the Medicare PECOS enrollment system.

When is 123 Medical Transport LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Ambulance Service Supplier) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for 123 Medical Transport LLC was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.