Organization Active NPI

Safeway Medical Tranportation LLC

  • Land Ambulance
  • Totowa, NJ
National Provider Identifier
1326416884
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
101767 Issued in NJ
Legal business name
SAFEWAY MEDICAL TRANPORTATION LLC
Practice address
393 Minnisink Rd
Totowa, NJ 07512-1804
Phone
(973) 896-4007
Fax
(973) 907-2335
NPI assigned
Sep 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Artim Ibraimi
Title
Director
Phone
(973) 896-4007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 101767 NJ Primary

Addresses

Primary practice location

393 Minnisink Rd
Totowa, NJ 07512-1804

Mailing address

393 Minnisink Rd
Totowa, NJ 07512-1804
Phone (973) 896-4007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160111000168 NJ Part B Supplier - Ambulance Service Supplier 8820390735 Practice locations: Totowa, NJ

National Provider Directory

National Provider Directory

Locations

393 Minnisink Rd
Totowa, NJ 07512
Phone (973) 896-4007

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1326416884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 MINNISINK RD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121804",
            "telephone_number": "973-896-4007",
            "fax_number": "973-907-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 MINNISINK RD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121804",
            "telephone_number": "973-896-4007",
            "fax_number": "973-907-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY MEDICAL TRANPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "IBRAIMI",
        "authorized_official_first_name": "ARTIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-896-4007"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "101767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.