Organization Active NPI

Med Life LLC

Doing business as Pace Medical Transport

  • Ambulance
  • Fairfield, NJ
National Provider Identifier
1386905529
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0712053 Issued in NJ
Legal business name
MED LIFE LLC
Doing business as
Pace Medical Transport
Practice address
295 Route 46 West
Suite 201
Fairfield, NJ 07004
Phone
(973) 244-0610
Fax
(973) 244-0609
NPI assigned
Jun 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Misaret Veliu
Title
President
Phone
(973) 244-0610

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Ambulance 341600000X 0712053 NJ Primary

Addresses

Primary practice location

295 Route 46 West
Suite 201
Fairfield, NJ 07004

Mailing address

295 Route 46 West
Suite 201
Fairfield, NJ 07004
Phone (973) 244-0610

Other names 1

  • Pace Medical Transport Doing business as

National Provider Directory

National Provider Directory

Locations

295 US Highway 46
Ste 201
Fairfield, NJ 07004
Phone (973) 244-0610

58 Clinton Rd
Fairfield, NJ 07004
Phone (973) 244-0610

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1386905529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 ROUTE 46 WEST",
            "address_2": "SUITE 201",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "07004",
            "telephone_number": "973-244-0610",
            "fax_number": "973-244-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 ROUTE 46 WEST",
            "address_2": "SUITE 201",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "07004",
            "telephone_number": "973-244-0610",
            "fax_number": "973-244-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "VELIU",
        "authorized_official_first_name": "MISARET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-244-0610"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "0712053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pace Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.