Organization Active NPI

Pro-Care Ambulance Services LLC

  • Land Ambulance
  • Clark, NJ
National Provider Identifier
1104136407
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PRO-CARE AMBULANCE SERVICES LLC
Practice address
21 Rutgers Rd
Clark, NJ 07066-2729
Phone
(908) 967-3651
NPI assigned
Oct 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Authorized official

Name
Daniel Martins Da Fonseca
Title
Owner
Phone
(908) 967-3651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

21 Rutgers Rd
Clark, NJ 07066-2729

Mailing address

21 Rutgers Rd
Clark, NJ 07066-2729
Phone (908) 967-3651

National Provider Directory

National Provider Directory

Locations

1146 Raritan Rd
Clark, NJ 07066
Phone (732) 388-2619

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1104136407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 RUTGERS RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070662729",
            "telephone_number": "908-967-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 RUTGERS RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070662729",
            "telephone_number": "908-967-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-CARE AMBULANCE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "DA FONSECA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MARTINS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-967-3651"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.