Superior Invalid Coach

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

SUPE00558 Issued in NJ

Legal business name

SUPERIOR INVALID COACH

Practice address

324 W Clinton Ave
Bergenfield, NJ 07621-1903

Phone

(201) 288-1600

Fax

(201) 288-1662

NPI assigned

Jun 20, 2008

Last updated

Jun 20, 2008By 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

Sumeer Toteja

Title

Billing Manager

Phone

(732) 803-1210

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1407017502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W CLINTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211903",
            "telephone_number": "201-288-1600",
            "fax_number": "201-288-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W CLINTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211903",
            "telephone_number": "201-288-1600",
            "fax_number": "201-288-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR INVALID COACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "TOTEJA",
        "authorized_official_first_name": "SUMEER",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "732-803-1210"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "SUPE00558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6290604",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Bergenfield, NJ
• 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 Jun 20, 2008; 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.