Organization Active NPI

Safa Ambulette LLC.

  • Non-emergency Medical Transport (VAN)
  • Brooklyn, NY
National Provider Identifier
1124459268
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SAFA AMBULETTE LLC.
Practice address
228 Bay 43Rd St
Apt. 2
Brooklyn, NY 11214-6708
Phone
(646) 358-0105
Fax
(866) 670-4824
NPI assigned
Nov 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Abdelazim Balla AbdallaNPI 1528498276
Title
President
Phone
(646) 358-0105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NY Primary

Addresses

Primary practice location

228 Bay 43Rd St
Apt. 2
Brooklyn, NY 11214-6708

Mailing address

228 Bay 43Rd St
Apt. 2
Brooklyn, NY 11214-6708
Phone (646) 358-0105

Other identifiers 1

IdentifierTypeStateIssuer
02685321MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Safa Ambulette LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124459268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 BAY 43RD ST",
            "address_2": "APT. 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146708",
            "telephone_number": "646-358-0105",
            "fax_number": "866-670-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 BAY 43RD ST",
            "address_2": "APT. 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146708",
            "telephone_number": "646-358-0105",
            "fax_number": "866-670-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFA AMBULETTE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ABDALLA",
        "authorized_official_first_name": "ABDELAZIM",
        "authorized_official_middle_name": "BALLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-358-0105"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02685321",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.