Individual provider Active NPI

Michael Jordan Flores, A.A.S., NREMT

  • Basic Emergency Medical Technician
  • Jersey City, NJ
National Provider Identifier
1376964015
Registry record updated Dec 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
522303 Issued in NJ
Practice address
17 Eastern Pkwy
Jersey City, NJ 07305-4011
Phone
(973) 303-9265
NPI assigned
Dec 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 522303 NJ Primary

Addresses

Primary practice location

17 Eastern Pkwy
Jersey City, NJ 07305-4011

Mailing address

17 Eastern Pkwy
Jersey City, NJ 07305-4011
Phone (973) 303-9265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Associate of Applied Science

State licenses

LicenseStateTypeSpecialty
522303NJMDBasic Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Response Time Ambulance LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1387843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387843200000",
    "number": "1376964015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 EASTERN PKWY",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073054011",
            "telephone_number": "973-303-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 EASTERN PKWY",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073054011",
            "telephone_number": "973-303-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "MICHAEL",
        "middle_name": "JORDAN",
        "name_prefix": "Mr.",
        "credential": "A.A.S., NREMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-24",
        "last_updated": "2013-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NJ",
            "license": "522303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2013; 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.