Organization Active NPI

Superior Care Ambulance Services

  • Land Ambulance
  • Paterson, NJ
National Provider Identifier
1306254321
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
100631 Issued in NJ
Legal business name
SUPERIOR CARE AMBULANCE SERVICES
Practice address
25 E 19TH St
Paterson, NJ 07524-1307
Phone
(973) 930-1924
NPI assigned
Jul 23, 2014
Last updated
Jul 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Dijana Rizvani
Title
Owner/President
Phone
(973) 930-1924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 100631 NJ Primary

Addresses

Primary practice location

25 E 19TH St
Paterson, NJ 07524-1307

Mailing address

25 E 19TH St
Paterson, NJ 07524-1307
Phone (973) 930-1924

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140923001891 NJ Part B Supplier - Ambulance Service Supplier 0840419842 Practice locations: Piscataway, NJ

National Provider Directory

National Provider Directory

Locations

20 Madison Ave
Ste 200
Paterson, NJ 07524
Phone (973) 279-1777

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1306254321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E 19TH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075241307",
            "telephone_number": "973-930-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E 19TH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075241307",
            "telephone_number": "973-930-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR CARE AMBULANCE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "RIZVANI",
        "authorized_official_first_name": "DIJANA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "973-930-1924"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "100631",
            "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 Jul 23, 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.