Albertos Medical Transport LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

100598 Issued in NJ

Legal business name

ALBERTOS MEDICAL TRANSPORT LLC

Practice address

127 Passaic Ave
Hawthorne, NJ 07506-1433

Phone

(973) 356-5455

Fax

(732) 283-4020

NPI assigned

Mar 27, 2014

Organization subpart

No

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

Authorized official

Name

Albert Ibraimi

Title

President

Phone

(973) 356-5455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1194142133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 PASSAIC AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061433",
            "telephone_number": "973-356-5455",
            "fax_number": "732-283-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 PASSAIC AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061433",
            "telephone_number": "973-356-5455",
            "fax_number": "732-283-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERTOS MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "IBRAIMI",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-356-5455"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "100598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Hawthorne, NJ
• Land Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.