Khaleidoscope Health Care Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

2000361 Issued in NJ

Legal business name

KHALEIDOSCOPE HEALTH CARE INC

Practice address

127 Lafayette St
Jersey City, NJ 07304-3615

Phone

(201) 451-5425

Fax

(201) 451-7499

NPI assigned

Jul 3, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Larry M. Ali Blake Jr.

Title

Ceo

Phone

(201) 451-5425

Specialties & licenses 1

Addresses

Tax ID family

Khaleidoscope Health Care 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.

• Khaleidoscope Health Care Inc.

  • General Practice Dentistry
  • Jersey City, NJ
  • NPI 1336350909
  NPD tax ID

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1750645834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 LAFAYETTE ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073043615",
            "telephone_number": "201-451-5425",
            "fax_number": "201-451-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 LAFAYETTE ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073043615",
            "telephone_number": "201-451-5425",
            "fax_number": "201-451-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHALEIDOSCOPE HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "M. ALI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-451-5425",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NJ",
            "license": "2000361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiera Kennette
• Colleen Jaime Kenny
• Patricia Marie Kenny, RPH
• Elyse B Kerschner, D.D.S.
• Samantha Kerstein
• Khaleidoscope Health Care Inc.
• Khaleidoscope Health Care Inc.
• Ronny Fares Khalek, DDS
• Amtul Khaleq, M.D.
• Aysha Khalid, M.D.

• Non-emergency Medical Transport (VAN) in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Non-emergency Medical Transport (VAN) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.