Organization Active NPI

Safa Ambulette LLC

  • Non-emergency Medical Transport (VAN)
  • Brooklyn, NY
National Provider Identifier
1578770764
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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

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. Abdelazim Balla Abdalla
Title
President
Phone
(646) 358-0105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02685321MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Safa Ambulette LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.