Superior Medical Response Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SUPERIOR MEDICAL RESPONSE INC.

Doing business as

SMR Ambulance Services Inc

Practice address

2206 Saylors Pond Rd
Jobstown, NJ 08041-9990

Phone

(609) 949-2700

Fax

(609) 353-1639

NPI assigned

Oct 30, 2013

Last updated

Nov 4, 2019By 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

Alisher Igamberdiev

Title

President

Phone

(609) 949-2700

Specialties & licenses 1

Addresses

Other names 2

• SMR AMBULANCE SERVICES INC Doing business as
• GARDEN STATE AMBULANCE SERVICES INC. Former legal business name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1407284433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "JOBSTOWN",
            "state": "NJ",
            "postal_code": "080410218",
            "telephone_number": "609-949-2700",
            "fax_number": "732-668-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 SAYLORS POND RD",
            "city": "JOBSTOWN",
            "state": "NJ",
            "postal_code": "080419990",
            "telephone_number": "609-949-2700",
            "fax_number": "609-353-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR MEDICAL RESPONSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-30",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "IGAMBERDIEV",
        "authorized_official_first_name": "ALISHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-949-2700"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMR AMBULANCE SERVICES INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GARDEN STATE AMBULANCE SERVICES INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Land Ambulance in Jobstown, NJ
• Providers in Jobstown, 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 Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.