Njcare Ambulance LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

NJCARE AMBULANCE LLC

Practice address

301 Route 17 Ste 800
Rutherford, NJ 07070-2581

Phone

(973) 517-6258

NPI assigned

Jan 19, 2024

Organization subpart

No

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

Authorized official

Name

Karina Vazquez Melo

Title

Owner

Phone

(201) 266-0255

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1073374732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ROUTE 17 N",
            "address_2": "SUITE 800",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702581",
            "telephone_number": "201-266-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ROUTE 17 STE 800",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702581",
            "telephone_number": "973-517-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJCARE AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ MELO",
        "authorized_official_first_name": "KARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-266-0255"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.