Organization Active NPI

Star Care Ambulance LLC

  • Land Ambulance
  • Hackensack, NJ
National Provider Identifier
1225433147
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
100704 Issued in NJ
Legal business name
STAR CARE AMBULANCE LLC
Practice address
393 Williams Ave
Hackensack, NJ 07601-6517
Phone
(201) 881-0481
Fax
(732) 283-4020
NPI assigned
Nov 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Jesus M Yambao
Title
President
Phone
(201) 881-0481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 100704 NJ Primary

Addresses

Primary practice location

393 Williams Ave
Hackensack, NJ 07601-6517

Mailing address

393 Williams Ave
Hackensack, NJ 07601-6517
Phone (201) 881-0481

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1225433147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 WILLIAMS AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016517",
            "telephone_number": "201-881-0481",
            "fax_number": "732-283-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 WILLIAMS AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016517",
            "telephone_number": "201-881-0481",
            "fax_number": "732-283-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR CARE AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "YAMBAO",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-881-0481"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "100704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.