NEW JERSEY AMBUCARE MEDICAL TRANSPORT LLC (NPI# 1528305976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528305976 |
Entity Type | Organization |
Organization Name | NEW JERSEY AMBUCARE MEDICAL TRANSPORT LLC |
Other Organization Name | GENUINE MEDICAL TRANSPORT |
Practice Address |
239 Montgomery St Bloomfield NJ 07003-4929 |
Practice Telephone | 9738668052 |
Practice Fax Number | 9736809454 |
Mailing Telephone | 9738668052 |
Mailing Fax Number | 9736809454 |
Enumeration Date | 2013-01-04 |
Last Update Date | 2013-02-07 |
Authorized Official Name | CHRISTIAN JONATHAN VACA (OPERATING MANAGER) |
Authorized Official Telephone | 9738668052 |
Authorized Official Credential | EMT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
0712055 | NJ | Transportation Services |
Other Name | Type Code |
---|---|
Genuine Medical Transport | Doing Business As Name - Organization |
Street Address |
239 MONTGOMERY ST |
City | BLOOMFIELD |
State | NJ |
Zip Code | 07003-4929 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316560501 | Delores Heart,llc | Respite Care | Delores Heart, 17 Dodd St. Ste A5, Bloomfield, NJ 07003 | 2020-05-21 |
1235798505 | Tina Rivera | Physical Therapy Assistant | A Team Approach, Pt 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2019-06-11 |
1144709239 | Jennifer Stuart | Social Worker | 27 Park Place, Apt. 13, Bloomfield, NJ 07003 | 2018-08-09 |
1992212179 | Kristina Camille P Manapat | Student in an Organized Health Care Education/Training Program | 1690 Broad St., Bloomfield, NJ 07003 | 2018-01-09 |
1760993224 | Vivian Arroyo | Counselor | 76 Baldwin Pl, Bloomfield, NJ 07003 | 2017-10-23 |
1942719653 | Savita Singh | Dentist | 40 Conger Street, 1402b, Bloomfield, NJ 07003 | 2017-09-26 |
1942729926 | Moya Mathison | Counselor | 27 West St # 5a, Bloomfield, NJ 07003 | 2017-09-11 |
1801319512 | Janice Rainford | Counselor | 267 Broughton Ave # 2, Bloomfield, NJ 07003 | 2017-07-25 |
1154841468 | Nhat Minh Nguyen | Nurse Practitioner | 3 Donald St, Apt. D, Bloomfield, NJ 07003 | 2017-06-27 |
1578091872 | Janice M. Steel | Physical Therapy Assistant | 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2017-05-31 |
Find all providers in zip 07003 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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Find all providers with the same taxonomy |
City | BLOOMFIELD |
Zip Code | 07003 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.