EXECUTIVE MEDICAL SERVICES LLC (NPI# 1720168412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720168412 |
| Entity Type | Organization |
| Organization Name | EXECUTIVE MEDICAL SERVICES LLC |
| Practice Address |
99 Chamberlain Ave Elmwood Park NJ 07407-1411 |
| Practice Telephone | 2012309594 |
| Practice Fax Number | 2018456435 |
| Mailing Telephone | 2012309594 |
| Mailing Fax Number | 2018456435 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOSE LOPEZ (PRESIDENT) |
| Authorized Official Telephone | 2018456433 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
NJ | Ambulatory Health Care Facilities |
| Street Address |
99 CHAMBERLAIN AVE |
| City | ELMWOOD PARK |
| State | NJ |
| Zip Code | 07407-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042406 | Diana Marie Monteleon | Registered Nurse | 75 Miller Avenue, Elmwood Park, NJ 07407 | 2020-01-24 |
| 1427569102 | Fastcare Medical Transportation | Ambulance | 62 Philip Ave, Elmwood, NJ 07407 | 2017-10-20 |
| 1376078642 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 59 Boulevard, Elmwood Village Apartments, Elmwood Park, NJ 07407 | 2017-04-25 |
| 1457885048 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Donor Avenue, Apt A, Elmwood Park, NJ 07407 | 2017-04-20 |
| 1295143196 | Juan Quesada | Student in an Organized Health Care Education/Training Program | 21 Craig Court, Elmwood Park, NJ 07407 | 2014-07-24 |
| 1548546492 | Pinnacle Mri Group, LLC | Clinic/Center | 97 Linden Avenue, Elmwood Park, NJ 07407 | 2011-10-24 |
| 1598914921 | Aaron David Brisman | Dentist | 511 River Drive, Elmwood Park, NJ 07407 | 2008-09-10 |
| 1922267004 | Borough of Elmwood Park | Public Health or Welfare | 182 Market Street, Health Department, Elmwood Park, NJ 07407 | 2008-06-04 |
| 1043477599 | Deborah W. Buzaid | Pathology | 481 Edward H. Ross Drive, Elmwood Park, NJ 07407 | 2008-05-21 |
| 1558571828 | Yan Gao Fan | Pathology | 481 Edward H Ross Drive, Elmwood Park, NJ 07407 | 2007-05-23 |
| Find all providers in zip 07407 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790332369 | Anthony Palmieri | Clinic/Center | 2 Chaser Ct, Holmdel, NJ 07733-2933 | 2019-08-19 |
| 1053830869 | Bradley and Elliott Imaging, LLC | Clinic/Center | 84 Park Ave Ste G210c, Flemington, NJ 08822-1174 | 2017-09-12 |
| 1366854259 | Ir Imaging Medical Service LLC | Clinic/Center | 218 Avenue B, 3f, Bayonne, NJ 07002-3145 | 2014-05-27 |
| 1013257419 | Nj Medical Solutions | Clinic/Center | 17 S 21st St, Kenilworth, NJ 07033-1625 | 2013-02-21 |
| 1053685511 | Professional Mobile Diagnostic Imaging LLC | Clinic/Center | 1810 Kennedy Boulevard, Jersey City, NJ 07305 | 2012-03-01 |
| 1386916005 | Sunny Imaging LLC | Clinic/Center | 127 Nathan Dr, North Brunswick, NJ 08902-1234 | 2012-01-27 |
| 1194093294 | Us Medical Services LLC | Clinic/Center | 85 Parlin Ln, Watchung, NJ 07069-5419 | 2011-12-05 |
| 1669798260 | Green Life Diagnostics, Inc. | Clinic/Center | 1903 Willow Oak Ln, Cedar Knolls, NJ 07927-1338 | 2010-04-08 |
| 1912238874 | Myron Medical Imaging, LLC | Clinic/Center | 218 N 10th St, Kenilworth, NJ 07033-1152 | 2010-01-15 |
| 1295968154 | Jersey Diagnostic Imaging, LLC | Clinic/Center | 929 N Wood Ave, Linden, NJ 07036-4039 | 2009-08-26 |
| Find all providers with the same taxonomy | ||||
| City | ELMWOOD PARK |
| Zip Code | 07407 |
Please comment or provide details below to improve the information on EXECUTIVE MEDICAL SERVICES LLC.
| 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.