NPIMap

Organization Active NPI

Life Care Medical Transportation LLC

  • Land Ambulance
  • Paterson, NJ
National Provider Identifier
1710307368
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
100668 Issued in NJ
Legal business name
LIFE CARE MEDICAL TRANSPORTATION LLC
Practice address
13 Potomac Ave
Floor 2
Paterson, NJ 07503-1601
Phone
(973) 393-2776
Fax
(732) 283-4020
NPI assigned
Apr 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Authorized official

Name
Brahim Mehdoun
Title
Owner/President
Phone
(973) 393-2776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 100668 NJ Primary

Addresses

Primary practice location

13 Potomac Ave
Floor 2
Paterson, NJ 07503-1601

Mailing address

13 Potomac Ave
Floor 2
Paterson, NJ 07503-1601
Phone (973) 393-2776

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1710307368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 POTOMAC AVE",
            "address_2": "FLOOR 2",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075031601",
            "telephone_number": "973-393-2776",
            "fax_number": "732-283-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 POTOMAC AVE",
            "address_2": "FLOOR 2",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075031601",
            "telephone_number": "973-393-2776",
            "fax_number": "732-283-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "MEHDOUN",
        "authorized_official_first_name": "BRAHIM",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "973-393-2776"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "100668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.