Standard Care Medical Transportation LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

STANDARD CARE MEDICAL TRANSPORTATION LLC

Practice address

492 Park Ave
Apt2
East Orange, NJ 07017-2590

Phone

(862) 252-0858

Fax

(862) 252-8808

NPI assigned

Jun 16, 2015

Organization subpart

No

Name

Abdurrahman Abdulhakeem, EMTNPI 1477940872

Title

Owner

Phone

(862) 252-0858

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abdurrahman Abdulhakeem

  • Basic Emergency Medical Technician
  • East Orange, NJ
  • NPI 1477940872
  NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2015.

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1609257583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 PARK AVE",
            "address_2": "APT2",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070172590",
            "telephone_number": "862-252-0858",
            "fax_number": "862-252-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 PARK AVE",
            "address_2": "APT2",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070172590",
            "telephone_number": "862-252-0858",
            "fax_number": "862-252-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDARD CARE MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "ABDULHAKEEM",
        "authorized_official_first_name": "ABDURRAHMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-252-0858",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in East Orange, NJ
• Land Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.