Organization Active NPI

Clini Cab LLC

  • Ambulance
  • Maplewood, NJ
National Provider Identifier
1497738488
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CLINI CAB LLC
Practice address
215C Rutgers St
Maplewood, NJ 07040-3229
Phone
(973) 313-0221
Fax
(973) 313-0252
NPI assigned
Nov 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Mr. Gilbert M Levine
Title
Member
Phone
(973) 313-0221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

215C Rutgers St
Maplewood, NJ 07040-3229

Mailing address

215C Rutgers St
Maplewood, NJ 07040-3229
Phone (973) 313-0221

Other identifiers 1

IdentifierTypeStateIssuer
8174008MedicaidNJ

Other names 1

  • Bell Medical Transport Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050609000412 NJ Part B Supplier - Ambulance Service Supplier 9638112717 Practice locations: Orange, NJ

National Provider Directory

National Provider Directory

Locations

503 Pine Brook Rd
Lincoln Park, NJ 07035
Phone (973) 317-7500

215C Rutgers St
Maplewood, NJ 07040
Phone (973) 313-0221

109 Park St
Orange, NJ 07050
Phone (973) 313-0221

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1497738488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215C RUTGERS ST",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403229",
            "telephone_number": "973-313-0221",
            "fax_number": "973-313-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215C RUTGERS ST",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403229",
            "telephone_number": "973-313-0221",
            "fax_number": "973-313-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINI CAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "973-313-0221",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8174008",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bell Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maplewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.