Organization Active NPI

Natan Mobile,LLC

  • Ambulance
  • North Brunswick, NJ
National Provider Identifier
1366791618
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
594105 Issued in NJ
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

Updated by the provider on Feb 1, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20141007002448 NJ Part B Supplier - Ambulance Service Supplier 0547480931 Practice locations: North Brunswick, NJ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.