MEDICARE: JOHAN OGANDO NEMT

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	343900000X	Non-emergency Medical Transport (VAN)	100002066017	NY

General Provider Information

NPI Number	:	1952266272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHAN OGANDO NEMT

Provider Business Mailing Address
First Line	:	2333 LORING PL N APT 24
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10468-5868
Country	:	US
Telephone Number	:	718-902-5537
Fax Number	:	718-902-5537

Provider Business Practice Location Address
First Line	:	2333 LORING PL N APT 24
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10468-5868
Country	:	US
Telephone Number	:	718-902-5537
Fax Number	:	718-902-5537

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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