Organization Active NPI

Safe Care Ambulance, LLC

  • Land Ambulance
  • Old Bridge, NJ
National Provider Identifier
1467827972
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
102817 Issued in NJ
Legal business name
SAFE CARE AMBULANCE, LLC
Practice address
8998 Route 18 N
Suite 205
Old Bridge, NJ 08857-3360
Phone
(732) 416-6667
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Peter D Siskin
Title
President
Phone
(732) 416-6667

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X 102817 NJ Primary

Addresses

Primary practice location

8998 Route 18 N
Suite 205
Old Bridge, NJ 08857-3360

Mailing address

8998 Route 18 North
Suite 205
Old Bridge, NJ 08857

Other identifiers 1

IdentifierTypeStateIssuer
102807OtherNJNEW JERSEY DHSS BLS/MAV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160603000626 NJ Part B Supplier - Ambulance Service Supplier 2860782869 Practice locations: Tinton Falls, NJ

National Provider Directory

National Provider Directory

Locations

8998 Route 18 N
Ste 205
Old Bridge, NJ 08857
Phone (732) 416-6667

8998 State Route 18
Old Bridge, NJ 08857

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1467827972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8998 ROUTE 18 NORTH",
            "address_2": "SUITE 205",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8998 ROUTE 18 N",
            "address_2": "SUITE 205",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573360",
            "telephone_number": "732-416-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE CARE AMBULANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "SISKIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-416-6667"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "102817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY DHSS BLS/MAV",
            "identifier": "102807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.