Individual provider Active NPI

Audrey Millan

  • Ambulance
  • Paterson, NJ
National Provider Identifier
1194130765
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on Dec 27, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.