Organization Active NPI

New Jersey Ambulance Administration Limited Liability Company

Doing business as Genesis Medical Transportation

  • Ambulance
  • East Orange, NJ
National Provider Identifier
1164749958
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
NEW JERSEY AMBULANCE ADMINISTRATION LIMITED LIABILITY COMPANY
Doing business as
Genesis Medical Transportation
Practice address
526 Prospect St
East Orange, NJ 07017-3216
Phone
(862) 224-1204
NPI assigned
May 3, 2010
Last updated
Feb 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Adam MohammedNPI 1992948699
Title
Owner
Phone
(862) 224-1204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary

Addresses

Primary practice location

526 Prospect St
East Orange, NJ 07017-3216

Mailing address

16 Central PL
West Orange, NJ 07052-4302
Phone (862) 224-1204

Other names 1

  • Genesis Medical Transportation Doing business as

National Provider Directory

National Provider Directory

Locations

526 Prospect St
East Orange, NJ 07017
Phone (862) 224-1204

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": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1164749958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CENTRAL PL",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524302",
            "telephone_number": "862-224-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 PROSPECT ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070173216",
            "telephone_number": "862-224-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY AMBULANCE ADMINISTRATION LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-224-1204"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Medical Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.