Active NPI
Miracle Invalid Coach
- Secured Medical Transport (VAN)
- Elizabeth, NJ
National Provider Identifier
1841409752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Secured Medical Transport (VAN)
- License
- MIRA00383
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.