MEDICARE: EQUILIBRIUM TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347C00000X	Private Vehicle
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1699619494
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EQUILIBRIUM TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	500 FALLS BLVD APT F6113
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169-8178
Country	:	US
Telephone Number	:	781-975-6111
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 FALLS BLVD APT F6113
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169-8178
Country	:	US
Telephone Number	:	781-975-6111
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KRISTINA ROZGA
Credential	:
Telephone Number	:	781-975-6111

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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