Active NPI
Lifemed Ambulance Corporation
- Land Ambulance
- Bridgewater, NJ
National Provider Identifier
1891385514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- LIFEMED AMBULANCE CORPORATION
- Practice address
- 1200 Route 22
Bridgewater, NJ 08807-2943 - Phone
- (973) 900-1111
- NPI assigned
- Jan 26, 2021
- 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. Aiad Elkhidir
- Title
- Ceo
- Phone
- (973) 900-1111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
1200 Route 22
Bridgewater, NJ 08807-2943
Mailing address
PO Box 1
Newark, NJ 07101-0017
Phone (973) 900-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210309000156 | NJ | Part B Supplier - Ambulance Service Supplier | 2567878077 | Practice locations: Bridgewater, NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611619200000",
"number": "1891385514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071010017",
"telephone_number": "973-900-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 ROUTE 22",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088072943",
"telephone_number": "973-900-1111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFEMED AMBULANCE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-26",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A",
"authorized_official_last_name": "ELKHIDIR",
"authorized_official_first_name": "AIAD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "973-900-1111",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.