Organization Active NPI

Procare Medical Transportation Corp

  • Land Ambulance
  • Pompton Plains, NJ
National Provider Identifier
1750151106
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PROCARE MEDICAL TRANSPORTATION CORP
Practice address
17 Meade PL
Pompton Plains, NJ 07444-1016
Phone
(973) 883-5855
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Shkendim Hida
Title
President
Phone
(973) 883-5855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

17 Meade PL
Pompton Plains, NJ 07444-1016

Mailing address

17 Meade PL
Pompton Plains, NJ 07444-1016
Phone (973) 883-5855

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250418000848 NJ Part B Supplier - Ambulance Service Supplier 8527583871 Practice locations: Cherry Hill, NJ

National Provider Directory

National Provider Directory

Locations

86 Lackawanna Ave
Ste 217E
Woodland Park, NJ 07424

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1750151106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MEADE PL",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441016",
            "telephone_number": "973-883-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MEADE PL",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441016",
            "telephone_number": "973-883-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE MEDICAL TRANSPORTATION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "HIDA",
        "authorized_official_first_name": "SHKENDIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-883-5855"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.