Organization Active NPI

Smarttrans Ambulance Service

  • Ambulance
  • Cockeysville, MD
National Provider Identifier
1689941221
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
132 Issued in MD
Legal business name
SMARTTRANS AMBULANCE SERVICE
Practice address
10866 York Rd
Suite M
Cockeysville, MD 21030-2179
Phone
(410) 560-5760
NPI assigned
Nov 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Mr. Tarik Fadly
Title
Owner
Phone
(443) 867-5636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 132 MD Primary

Addresses

Primary practice location

10866 York Rd
Suite M
Cockeysville, MD 21030-2179

Mailing address

PO Box 26006
Baltimore, MD 21224-0706
Phone (410) 560-5760

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120111000024 MD Part B Supplier - Ambulance Service Supplier 2769658954 Practice locations: Cockeysville, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2236391Smarttrans Ambulance Service10866 York Rd Suite M, Cockeysville, MD 21030Certificate of waiverSep 15, 2027

National Provider Directory

National Provider Directory

Locations

10866 York Rd
Ste M
Cockeysville, MD 21030
Phone (410) 560-5760

1930R Greenspring Dr
Timonium, MD 21093
Phone (410) 560-5760

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1689941221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26006",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212240706",
            "telephone_number": "410-560-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10866 YORK RD",
            "address_2": "SUITE M",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302179",
            "telephone_number": "410-560-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMARTTRANS AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "FADLY",
        "authorized_official_first_name": "TARIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-867-5636",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MD",
            "license": "132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.