Active NPI
Safa Ambulette LLC
- Non-emergency Medical Transport (VAN)
- Brooklyn, NY
National Provider Identifier
1578770764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- SAFA AMBULETTE LLC
- Practice address
- 2651 Cropsey Ave
First Floor
Brooklyn, NY 11214-6712 - Phone
- (646) 358-0105
- Fax
- (347) 312-7160
- NPI assigned
- May 17, 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. Abdelazim Balla Abdalla
- Title
- President
- Phone
- (646) 358-0105
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
2651 Cropsey Ave
First Floor
Brooklyn, NY 11214-6712
Mailing address
2651 Cropsey Ave
First Floor
Brooklyn, NY 11214-6712
Phone (646) 358-0105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02685321 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Safa Ambulette LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Brooklyn, NY
- NPI 1124459268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1578770764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2651 CROPSEY AVE",
"address_2": "FIRST FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112146712",
"telephone_number": "646-358-0105",
"fax_number": "347-312-7160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2651 CROPSEY AVE",
"address_2": "FIRST FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112146712",
"telephone_number": "646-358-0105",
"fax_number": "347-312-7160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFA AMBULETTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ABDALLA",
"authorized_official_first_name": "ABDELAZIM",
"authorized_official_middle_name": "BALLA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "646-358-0105",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02685321",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
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.