NEW JERSEY AMBUCARE MEDICAL TRANSPORT LLC


Address: 239 Montgomery St, Bloomfield, NJ 07003-4929
Phone: 9738668052

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3416L0300X Ambulance
Specialization: Land Transport
0712055 NJ Transportation Services

Other Provider/Organization Names

Other Name Type Code
Genuine Medical Transport Doing Business As Name - Organization

Office Location

Street Address 239 MONTGOMERY ST
City BLOOMFIELD
State NJ
Zip Code 07003-4929

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Taxonomy Information

Taxonomy Code 3416L0300X
Grouping Transportation Services
Classification Ambulance
Specialization Land Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

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Competitor

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City BLOOMFIELD
Zip Code 07003

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Dataset Information

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.

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