Organization Active NPI

Mercy Medical Response

Doing business as Ever Ready Medical Response

  • Land Ambulance
  • Elizabeth, NJ
National Provider Identifier
1912258062
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2012044 Issued in NJ
Legal business name
MERCY MEDICAL RESPONSE
Doing business as
Ever Ready Medical Response
Practice address
553 E Jersey St
Elizabeth, NJ 07206-1225
Phone
(908) 368-7482
Fax
(908) 333-5712
NPI assigned
Sep 28, 2012
Last updated
Sep 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Authorized official

Name
Mr. Muhammad Alkhulani, EMT-BNPI 1922359066
Title
Co-Owner
Phone
(908) 368-7482

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2012044 NJ Primary
Non-emergency Medical Transport (VAN) 343900000X 2012044 NJ

Addresses

Primary practice location

553 E Jersey St
Elizabeth, NJ 07206-1225

Mailing address

553 E Jersey St
Elizabeth, NJ 07206-1225
Phone (908) 368-7482

Other names 1

  • Ever Ready Medical Response Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1912258062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 E JERSEY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072061225",
            "telephone_number": "908-368-7482",
            "fax_number": "908-333-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 E JERSEY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072061225",
            "telephone_number": "908-368-7482",
            "fax_number": "908-333-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL RESPONSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "ALKHULANI",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "908-368-7482",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-B"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "2012044",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NJ",
            "license": "2012044",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ever Ready Medical Response",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 28, 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.