Organization Active NPI

Miracle Invalid Coach

  • Secured Medical Transport (VAN)
  • Elizabeth, NJ
National Provider Identifier
1841409752
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
License
MIRA00383 Issued in NJ
Legal business name
MIRACLE INVALID COACH
Practice address
520 Westfield Ave
Suite 203
Elizabeth, NJ 07208-1658
Phone
(908) 355-2235
Fax
(908) 355-3116
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Saifeldin Sidahmed
Title
President
Phone
(908) 355-2235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X MIRA00383 NJ Primary

Addresses

Primary practice location

520 Westfield Ave
Suite 203
Elizabeth, NJ 07208-1658

Mailing address

520 Westfield Ave
Suite 203
Elizabeth, NJ 07208-1658
Phone (908) 355-2235

National Provider Directory

National Provider Directory

Locations

520 Westfield Ave
Ste 203
Elizabeth, NJ 07208
Phone (908) 355-2235

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841409752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WESTFIELD AVE",
            "address_2": "SUITE 203",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081658",
            "telephone_number": "908-355-2235",
            "fax_number": "908-355-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 WESTFIELD AVE",
            "address_2": "SUITE 203",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081658",
            "telephone_number": "908-355-2235",
            "fax_number": "908-355-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE INVALID COACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIDAHMED",
        "authorized_official_first_name": "SAIFELDIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-355-2235",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "NJ",
            "license": "MIRA00383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.