Super Medical Care Invalid Coach

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

SUP00557 Issued in NJ

Legal business name

SUPER MEDICAL CARE INVALID COACH

Practice address

137 W Jersey St
Elizabeth, NJ 07202-2066

Phone

(908) 289-4820

NPI assigned

May 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Salaheldin Mohamed

Title

President

Phone

(908) 289-4820

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023220415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 W JERSEY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072022066",
            "telephone_number": "908-289-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 W JERSEY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072022066",
            "telephone_number": "908-289-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER MEDICAL CARE INVALID COACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "SALAHELDIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-289-4820",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NJ",
            "license": "SUP00557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7723202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Doh, M.D., P.C.
• Gary Andrew Stevens, D.C.
• Jeffrey E Stirling, MD
• Strength Behavioral Services LLC
• Raghunandan Sundaram, M.D
• Superior Pharmacy LLC
• Ali R Surahio, M.D.
• Gautam C Surana, MD
• Surgi Scripts Inc.
• Sushrut Healthcare, LLC

• Non-emergency Medical Transport (VAN) in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Non-emergency Medical Transport (VAN) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.