Active NPI
Superior Care Ambulance Services
- Land Ambulance
- Paterson, NJ
National Provider Identifier
1306254321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 100631
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140923001891 | NJ | Part B Supplier - Ambulance Service Supplier | 0840419842 | Practice locations: Piscataway, NJ |
National Provider Directory
National Provider DirectoryLocations
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.