Active NPI
Ahmed I Eltayeb
- Ambulance
- East Orange, NJ
National Provider Identifier
1871892893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- TO912017
- Practice address
- 111 S Harrison St
Suite 304
East Orange, NJ 07018-1726 - Phone
- (973) 885-9238
- Fax
- (973) 673-6599
- NPI assigned
- Mar 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | TO912017 | NJ | Primary |
Addresses
Primary practice location
111 S Harrison St
Suite 304
East Orange, NJ 07018-1726
Mailing address
111 S Harrison St
Suite 304
East Orange, NJ 07018-1726
Phone (973) 885-9238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TO912017 | NJ | MD | Ambulance |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1871892893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S HARRISON ST",
"address_2": "SUITE 304",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070181726",
"telephone_number": "973-885-9238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S HARRISON ST",
"address_2": "SUITE 304",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070181726",
"telephone_number": "973-885-9238",
"fax_number": "973-673-6599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELTAYEB",
"first_name": "AHMED",
"middle_name": "I",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-16",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NJ",
"license": "TO912017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.