Organization Active NPI

Falcon Medical Corp

  • Land Ambulance
  • Montville, NJ
National Provider Identifier
1275942732
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
100690 Issued in NJ
Legal business name
FALCON MEDICAL CORP
Practice address
10 Joan Dr
Montville, NJ 07045
Phone
(973) 794-6060
Fax
(973) 794-6061
NPI assigned
Aug 10, 2014
Last updated
May 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Authorized official

Name
Nasir Smith
Title
Manager
Phone
(973) 794-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 100690 NJ Primary

Addresses

Primary practice location

10 Joan Dr
Montville, NJ 07045

Mailing address

10 Joan Dr
Montville, NJ 07045-9532
Phone (973) 794-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141016001184 NJ Part B Supplier - Ambulance Service Supplier 3870714801 Practice locations: East Orange, NJ

National Provider Directory

National Provider Directory

Locations

600 Getty Ave
Clifton, NJ 07011
Phone (201) 665-3066

600 Getty Ave
Ste 111
Clifton, NJ 07011
Phone (862) 686-3661

7 Glenwood Ave
Ste 414
East Orange, NJ 07017

7 Glenwood Ave
Ste 414E
East Orange, NJ 07017
Phone (862) 686-3661

NPI Registry JSON

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

{
    "created_epoch": "1407628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1275942732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JOAN DR",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459532",
            "telephone_number": "973-794-6060",
            "fax_number": "973-794-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 JOAN DR",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "07045",
            "telephone_number": "973-794-6060",
            "fax_number": "973-794-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALCON MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-10",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NASIR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-794-6060"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "100690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.