Active NPI
Lawrence Davis
- Land Ambulance
- Newark, NJ
National Provider Identifier
1700049475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1946510
- Practice address
- 371 Central Ave
Newark, NJ 07103-2842 - Phone
- (973) 481-6444
- Fax
- (973) 481-6461
- NPI assigned
- Jul 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1946510 | NJ | Primary |
Addresses
Primary practice location
371 Central Ave
Newark, NJ 07103-2842
Mailing address
371 Central Ave
Newark, NJ 07103-2842
Phone (973) 481-6444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1946510 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1946510 | NJ | MD | Land Ambulance |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner City Transit Corp. | Land Transport | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215043200000",
"number": "1700049475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "371 CENTRAL AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032842",
"telephone_number": "973-481-6444",
"fax_number": "973-481-6461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "371 CENTRAL AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032842",
"telephone_number": "973-481-6444",
"fax_number": "973-481-6461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LAWRENCE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-03",
"last_updated": "2008-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NJ",
"license": "1946510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1946510",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.