Organization Active NPI

Qualcare Medical Transportation LLC

  • Ambulance
  • Kearny, NJ
National Provider Identifier
1598002263
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
QUALCARE MEDICAL TRANSPORTATION LLC
Practice address
40 Argyle PL # 2
Kearny, NJ 07032-2705
Phone
(201) 884-0333
NPI assigned
Jan 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Mohamed H Eldessouky
Title
Owner
Phone
(201) 884-0333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

40 Argyle PL # 2
Kearny, NJ 07032-2705

Mailing address

40 Argyle PL # 2
Kearny, NJ 07032-2705
Phone (201) 884-0333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130627000289 NJ Part B Supplier - Ambulance Service Supplier 6406095280 Practice locations: Kearny, NJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1598002263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ARGYLE PL # 2",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322705",
            "telephone_number": "201-884-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ARGYLE PL # 2",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322705",
            "telephone_number": "201-884-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALCARE MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "ELDESSOUKY",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-884-0333"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.