Organization Active NPI

Iride Ambulance LLC

  • Land Ambulance
  • Union, NJ
National Provider Identifier
1114704293
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
IRIDE AMBULANCE LLC
Practice address
1620 US Highway 22 E Ste 100-01
Union, NJ 07083-3414
Phone
(646) 479-7418
NPI assigned
Sep 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Jennifer Y NG
Title
Owner
Phone
(646) 479-7418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1620 US Highway 22 E Ste 100-01
Union, NJ 07083-3414

Mailing address

1620 US Highway 22 E Ste 100-01
Union, NJ 07083-3414
Phone (646) 479-7418

National Provider Directory

National Provider Directory

Locations

1620 US Highway 22 E
Ste 10001
Union, NJ 07083
Phone (646) 479-7418

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1114704293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 US HIGHWAY 22 E STE 100-01",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833414",
            "telephone_number": "646-479-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 US HIGHWAY 22 E STE 100-01",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833414",
            "telephone_number": "646-479-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIDE AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-479-7418"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.