J & K Ambulance LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

100702 Issued in NJ

Legal business name

J & K AMBULANCE LLC

Practice address

27 Armour PL
Bergenfield, NJ 07621-1204

Phone

(201) 384-3415

Fax

(201) 384-3417

NPI assigned

Aug 27, 2014

Last updated

Aug 27, 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

Marino R Fugaban

Title

President

Phone

(201) 384-3415

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1366842353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ARMOUR PL",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211204",
            "telephone_number": "201-384-3415",
            "fax_number": "201-384-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 ARMOUR PL",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211204",
            "telephone_number": "201-384-3415",
            "fax_number": "201-384-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & K AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "FUGABAN",
        "authorized_official_first_name": "MARINO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-384-3415"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "100702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Bergenfield, 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 Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.