Active NPI
Health Guard
- Non-emergency Medical Transport (VAN)
- East Brunswick, NJ
National Provider Identifier
1508989526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 7356901
- Legal business name
- HEALTH GUARD
- Practice address
- 646 State Route 18 BLDG B Ste 110
East Brunswick, NJ 08816-3722 - Phone
- (732) 254-9155
- NPI assigned
- Apr 6, 2007
- 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
- Mr. Valeriy Izrailov
- Title
- President of the Company
- Phone
- (732) 254-9155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 7356901 | NJ | Primary |
Addresses
Primary practice location
646 State Route 18 BLDG B Ste 110
East Brunswick, NJ 08816-3722
Mailing address
34 Alpine Dr
Morganville, NJ 07751-1276
Phone (732) 617-9251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7356901 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
646 State Route 18
#B110
East Brunswick, NJ 08816
Phone (732) 254-9155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508989526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 ALPINE DR",
"city": "MORGANVILLE",
"state": "NJ",
"postal_code": "077511276",
"telephone_number": "732-617-9251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "646 STATE ROUTE 18 BLDG B STE 110",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163722",
"telephone_number": "732-254-9155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH GUARD",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "IZRAILOV",
"authorized_official_first_name": "VALERIY",
"authorized_official_title_or_position": "PRESIDENT OF THE COMPANY",
"authorized_official_telephone_number": "732-254-9155",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NJ",
"license": "7356901",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7356901",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.