Organization Active NPI

Standard Care Medical Transportation LLC

  • Land Ambulance
  • East Orange, NJ
National Provider Identifier
1609257583
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jun 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Abdurrahman Abdulhakeem, EMTNPI 1477940872
Title
Owner
Phone
(862) 252-0858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NJ Primary

Addresses

Primary practice location

492 Park Ave
Apt2
East Orange, NJ 07017-2590

Mailing address

492 Park Ave
Apt2
East Orange, NJ 07017-2590
Phone (862) 252-0858

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150817000254 NJ Part B Supplier - Ambulance Service Supplier 7315252624 Practice locations: East Orange, NJ

National Provider Directory

National Provider Directory

Locations

134 Evergreen Pl
Ste 3032
East Orange, NJ 07018
Phone (862) 252-0858

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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": []
}

Other providers in East Orange, NJ

Sources for this page

  • 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.