Atlantic Ambulance Corp.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

ATLHLTH01 Issued in NJ

Legal business name

ATLANTIC AMBULANCE CORP.

Practice address

120 Dorsa Ave
Livingston, NJ 07039-1003

Phone

(973) 535-8500

Fax

(973) 535-8340

NPI assigned

Oct 25, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Lenahan

Title

VP Cfo

Phone

(973) 660-3190

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phalgun Nori, M.D.

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  NPD (past)

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1225028707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SOUTH STREET",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606459",
            "fax_number": "973-360-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DORSA AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391003",
            "telephone_number": "973-535-8500",
            "fax_number": "973-535-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC AMBULANCE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "LENAHAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VP CFO",
        "authorized_official_telephone_number": "973-660-3190",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "ATLHLTH01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590015317",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054968",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.