Organization Active NPI

Lifequest Ambulance Services

  • Land Ambulance
  • Nutley, NJ
National Provider Identifier
1720411978
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
LIFEQUEST AMBULANCE SERVICES
Practice address
65 River Rd
306
Nutley, NJ 07110-3499
Phone
(973) 542-8184
NPI assigned
Aug 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Authorized official

Name
Wilford Constant
Title
Owner
Phone
(862) 218-8468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

65 River Rd
306
Nutley, NJ 07110-3499

Mailing address

65 River Rd
306
Nutley, NJ 07110-3499
Phone (973) 542-8184

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1720411978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 RIVER RD",
            "address_2": "306",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103499",
            "telephone_number": "973-542-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 RIVER RD",
            "address_2": "306",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103499",
            "telephone_number": "973-542-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEQUEST AMBULANCE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "CONSTANT",
        "authorized_official_first_name": "WILFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-218-8468"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.