Organization Active NPI

Life Tech, Inc

Doing business as Life Ride

  • Land Ambulance
  • East Hanover, NJ
National Provider Identifier
1740774504
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
LIFE TECH, INC
Doing business as
Life Ride
Practice address
120 Eagle Rock Ave Ste 200
East Hanover, NJ 07936-3159
Phone
(551) 225-0080
NPI assigned
Jun 15, 2018
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Dov Brafman
Title
Ceo
Phone
(973) 846-8441

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

120 Eagle Rock Ave Ste 200
East Hanover, NJ 07936-3159

Mailing address

120 Eagle Rock Ave Ste 200
East Hanover, NJ 07936-3159
Phone (551) 225-0080

Other names 1

  • Life Ride Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201117001665 NJ Part B Supplier - Ambulance Service Supplier 1759703929 Practice locations: Livingston, NJ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Life Tech Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1740774504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EAGLE ROCK AVE STE 200",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363159",
            "telephone_number": "551-225-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EAGLE ROCK AVE STE 200",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363159",
            "telephone_number": "551-225-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TECH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "BRAFMAN",
        "authorized_official_first_name": "DOV",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-846-8441"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Ride",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Hanover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.