Active NPI
Natan Mobile,LLC
- Ambulance
- North Brunswick, NJ
National Provider Identifier
1366791618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 594105
- Legal business name
- NATAN MOBILE,LLC
- Practice address
- 1460 Livingston Ave
BLDG 400 Suite 406
North Brunswick, NJ 08902 - Phone
- (888) 423-1777
- Fax
- (732) 200-0646
- NPI assigned
- Sep 2, 2012
- 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
- Mr. Nikita A Makaruha
- Title
- Sole Member
- Phone
- (888) 432-1777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 594105 | NJ | Primary |
Addresses
Primary practice location
1460 Livingston Ave
BLDG 400 Suite 406
North Brunswick, NJ 08902
Mailing address
1460 Livingston Ave
BLDG 400 Suite 406
North Brunswick, NJ 08902
Phone (888) 423-1777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141007002448 | NJ | Part B Supplier - Ambulance Service Supplier | 0547480931 | Practice locations: North Brunswick, NJ |
National Provider Directory
National Provider DirectoryLocations
200 State Route 18 N
East Brunswick, NJ 08816
Phone (732) 668-8279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706745600000",
"number": "1366791618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 LIVINGSTON AVE",
"address_2": "BLDG 400 SUITE 406",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "08902",
"telephone_number": "888-423-1777",
"fax_number": "732-200-0646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 LIVINGSTON AVE",
"address_2": "BLDG 400 SUITE 406",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "08902",
"telephone_number": "888-423-1777",
"fax_number": "732-200-0646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATAN MOBILE,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-02",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A",
"authorized_official_last_name": "MAKARUHA",
"authorized_official_first_name": "NIKITA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "888-432-1777",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NJ",
"license": "594105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.