Organization Active NPI

Silver Invalid Coach

  • Non-emergency Medical Transport (VAN)
  • South Orange, NJ
National Provider Identifier
1639336035
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
6588506 Issued in NJ
Legal business name
SILVER INVALID COACH
Practice address
10 N Ridgewood Rd Apt 215
South Orange, NJ 07079-1553
Phone
(973) 763-0122
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Mr. Fareed Abdulatif
Title
Owner
Phone
(973) 763-0122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 6588506 NJ Primary

Addresses

Primary practice location

10 N Ridgewood Rd Apt 215
South Orange, NJ 07079-1553

Mailing address

10 N Ridgewood Rd # 215
South Orange, NJ 07079
Phone (973) 763-0122

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1639336035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N RIDGEWOOD RD # 215",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "07079",
            "telephone_number": "973-763-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N RIDGEWOOD RD APT 215",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791553",
            "telephone_number": "973-763-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER INVALID COACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "ABDULATIF",
        "authorized_official_first_name": "FAREED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-763-0122",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NJ",
            "license": "6588506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.