Active NPI
Safe Care Ambulance, LLC
- Land Ambulance
- Old Bridge, NJ
National Provider Identifier
1467827972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 102817
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102807 | Other | NJ | NEW JERSEY DHSS BLS/MAV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160603000626 | NJ | Part B Supplier - Ambulance Service Supplier | 2860782869 | Practice locations: Tinton Falls, NJ |
National Provider Directory
National Provider DirectoryLocations
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.