Active NPI
Audrey Millan
- Ambulance
- Paterson, NJ
National Provider Identifier
1194130765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Practice address
- 24 Beckwith Ave # 38
Paterson, NJ 07503-2828 - Phone
- (973) 742-3274
- Fax
- (973) 742-7043
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | NJ | ||
| Non-emergency Medical Transport (VAN) | 343900000X | NJ | ||
| Ambulance | 341600000X | NJ | Primary |
Addresses
Primary practice location
24 Beckwith Ave # 38
Paterson, NJ 07503-2828
Mailing address
24 Beckwith Ave # 38
Paterson, NJ 07503-2828
Phone (973) 742-3274
Other practice location 1
56 Scudder St
Garfield, NJ 07026-2558
Phone (973) 246-7027
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Care Medical Transport | Ambulance | 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.
-
- Non-emergency Medical Transport (VAN)
- Paterson, NJ
- NPI 1538578448
Ambulance
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514332800000",
"number": "1194130765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 BECKWITH AVE # 38",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075032828",
"telephone_number": "973-742-3274",
"fax_number": "973-742-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 BECKWITH AVE # 38",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075032828",
"telephone_number": "973-742-3274",
"fax_number": "973-742-7043"
}
],
"practiceLocations": [
{
"address_1": "56 Scudder St",
"address_purpose": "LOCATION",
"city": "Garfield",
"state": "NJ",
"postal_code": "070262558",
"country_code": "US",
"telephone_number": "973-246-7027",
"fax_number": "973-272-2911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLAN",
"first_name": "AUDREY",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2017-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.