Active NPI
Life Streams Medical Transportation, Inc.
- Ambulance
- Newark, NJ
National Provider Identifier
1730110180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068155 | Other | NJ | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryNPI 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.