Organization Active NPI

Health Guard

  • Non-emergency Medical Transport (VAN)
  • East Brunswick, NJ
National Provider Identifier
1508989526
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
7356901 Issued in NJ
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7356901MedicaidNJ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.