Organization Active NPI

Life Streams Medical Transportation, Inc.

  • Ambulance
  • Newark, NJ
National Provider Identifier
1730110180
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
LIFE STREAMS MEDICAL TRANSPORTATION, INC.
Practice address
625 Central Ave
Newark, NJ 07107-1054
Phone
(973) 523-4177
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Authorized official

Name
Etchel Paragas
Title
Supervisor
Phone
(973) 523-4177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

625 Central Ave
Newark, NJ 07107-1054

Mailing address

19 Crooks Ave
Paterson, NJ 07503-1401

Other identifiers 1

IdentifierTypeStateIssuer
068155OtherNJMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1730110180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CROOKS AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075031401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CENTRAL AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071054",
            "telephone_number": "973-523-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE STREAMS MEDICAL TRANSPORTATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "PARAGAS",
        "authorized_official_first_name": "ETCHEL",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "973-523-4177"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "068155",
            "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 May 24, 2011; 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.