Cassovia Ambulance Limited Liability Company

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

100659 Issued in NJ

Legal business name

CASSOVIA AMBULANCE LIMITED LIABILITY COMPANY

Practice address

17 Lotz Hill Rd
Clifton, NJ 07013-2312

Phone

(973) 666-9990

Fax

(973) 779-5998

NPI assigned

Apr 22, 2014

Last updated

May 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Forgacs

Title

Owner/President

Phone

(973) 666-9990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400803200000",
    "number": "1316367956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LOTZ HILL RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132312",
            "telephone_number": "973-666-9990",
            "fax_number": "973-779-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LOTZ HILL RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132312",
            "telephone_number": "973-666-9990",
            "fax_number": "973-779-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSOVIA AMBULANCE LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-05-23",
        "status": "A",
        "authorized_official_last_name": "FORGACS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "973-666-9990"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "100659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Land Ambulance in New Jersey

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