NJ Rapid Care Ambulance LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

N2012039 Issued in NJ

Legal business name

NJ RAPID CARE AMBULANCE LLC

Practice address

1321 Fayette PL
Plainfield, NJ 07060-3303

Phone

(973) 445-9560

Fax

(973) 707-7756

NPI assigned

Mar 29, 2011

Organization subpart

No

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

Authorized official

Name

Elijah S Grace, 10/21/1988

Title

Owner

Phone

(973) 445-9560

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1598054611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 FAYETTE PL",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603303",
            "telephone_number": "973-445-9560",
            "fax_number": "973-707-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 FAYETTE PL",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603303",
            "telephone_number": "973-445-9560",
            "fax_number": "973-707-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ RAPID CARE AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-445-9560",
        "authorized_official_credential": "10/21/1988"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "N2012039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Plainfield, NJ
• Providers in Plainfield, NJ by specialty
• Land Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.