Lifeline Medical Sercvices

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

LIFL04008 Issued in NJ

Legal business name

LIFELINE MEDICAL SERCVICES

Practice address

54 Fairfield Ave
West Caldwell, NJ 07006-7604

Phone

(973) 676-7000

Fax

(973) 676-7002

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Ali A Hassan

Title

President

Phone

(973) 676-7000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1710139969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 FAIRFIELD AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067604",
            "telephone_number": "973-676-7000",
            "fax_number": "973-676-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 FAIRFIELD AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067604",
            "telephone_number": "973-676-7000",
            "fax_number": "973-676-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE MEDICAL SERCVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-676-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NJ",
            "license": "LIFL04008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8987807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in West Caldwell, NJ
• Providers in West Caldwell, NJ by specialty
• Non-emergency Medical Transport (VAN) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.