Organization Active NPI

Envision Emergency Medical Service

  • Land Ambulance
  • Montclair, NJ
National Provider Identifier
1467705020
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
ENVISION EMERGENCY MEDICAL SERVICE
Practice address
75 Elm St Ste 2
Montclair, NJ 07042-3233
Phone
(973) 970-3367
NPI assigned
Oct 19, 2012
Last updated
Oct 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Mr. Greelensky Charles
Title
Owner
Phone
(973) 932-0357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

75 Elm St Ste 2
Montclair, NJ 07042-3233

Mailing address

75 Elm St Ste 2
Montclair, NJ 07042-3233
Phone (973) 970-3367

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1467705020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ELM ST STE 2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423233",
            "telephone_number": "973-970-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 ELM ST STE 2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423233",
            "telephone_number": "973-970-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION EMERGENCY MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "GREELENSKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-932-0357",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.