Active NPI
Jeffrey Prado
- Basic Emergency Medical Technician
- Clifton, NJ
National Provider Identifier
1174946941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 582860
- Practice address
- 14 Montclair Ave
Clifton, NJ 07011-2823 - Phone
- (973) 342-5395
- Fax
- (973) 309-8758
- NPI assigned
- Jan 29, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 582860 | NJ | Primary |
Addresses
Primary practice location
14 Montclair Ave
Clifton, NJ 07011-2823
Mailing address
14 Montclair Ave
Clifton, NJ 07011-2823
Phone (973) 342-5395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 582860 | NJ | MD | Basic Emergency Medical Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adonis Medical Transportation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulance
- Clifton, NJ
- NPI 1164849576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1174946941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 MONTCLAIR AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070112823",
"telephone_number": "973-342-5395",
"fax_number": "973-309-8758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 MONTCLAIR AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070112823",
"telephone_number": "973-342-5395",
"fax_number": "973-309-8758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRADO",
"first_name": "JEFFREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-29",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "NJ",
"license": "582860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.