Saint Michaels Mobile Healthcare LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SAINT MICHAELS MOBILE HEALTHCARE LLC

Practice address

111 Central Ave
Newark, NJ 07102-1909

Phone

(201) 644-4505

NPI assigned

Sep 7, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Louis V Greco III, EMT-P

Title

Coo

Phone

(201) 644-4505

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Prime Healthcare Services - St Michaels LLC

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1568825545

  Member Of

  NPD member

Practitioners 1

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

• Alan David Sickles, MD

  • Surgery Physician
  • New York, NY
  • NPI 1134292527
  NPD (past)

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1639955354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021909",
            "telephone_number": "201-644-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021909",
            "telephone_number": "201-644-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MICHAELS MOBILE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "GRECO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "201-644-4505",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saint Michael'S Medical Center
• Saint Michael'S Medical Center, Inc
• Saint Michael'S Medical Center, Inc.
• Saint Michaels Medical Center Inc.
• Saint Michaels Medical Center Inc.
• Saint Michaels Physician Services PC
• Wislene Saint-Vil
• Shoshana Sait, PA-C
• Leander D Sakellaris, MD
• Misbah US Salam, MBBS

• Land Ambulance in Newark, NJ
• Providers in Newark, 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 Sep 7, 2023; 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.