Organization Active NPI

4J LLC

  • Land Ambulance
  • Margate, FL
National Provider Identifier
1386421774
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
4J LLC
Practice address
3430 NW 78TH Ave
Margate, FL 33063-5452
Phone
(561) 608-6117
NPI assigned
Sep 11, 2023
Last updated
Sep 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
Jeanel Simon
Title
Director
Phone
(954) 235-9034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

3430 NW 78TH Ave
Margate, FL 33063-5452

Mailing address

3430 NW 78TH Ave
Margate, FL 33063-5452
Phone (561) 608-6117

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1386421774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 NW 78TH AVE",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635452",
            "telephone_number": "561-608-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 NW 78TH AVE",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635452",
            "telephone_number": "561-608-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4J LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "JEANEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-235-9034"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.