Lifeline Medical Services Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

LIFL04008 Issued in NJ

Legal business name

LIFELINE MEDICAL SERVICES INC

Practice address

15-19 Hedden PL
Newark, NJ 07107-1614

Phone

(866) 874-7774

Fax

(215) 674-1907

NPI assigned

Dec 10, 2013

Organization subpart

No

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

Authorized official

Name

Barbara Russo

Title

Billing Manager

Phone

(866) 841-7774

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1942631320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15-19 HEDDEN PL",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071614",
            "telephone_number": "866-841-7774",
            "fax_number": "215-674-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-19 HEDDEN PL",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071614",
            "telephone_number": "866-874-7774",
            "fax_number": "215-674-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "866-841-7774"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "LIFL04008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Healthcare Pharmacy LLC
• Francesca Licandro, M.D.
• Life at Saint Michael'S Inc.
• Life Counseling and Healing, LLC
• Life Streams Medical Transportation, Inc.
• Michael Light, M.D.
• Pamela Lighten
• Jaime Lazo Ligot, M.D.
• Jiyun Lim
• Norman L Lim, MD

• Land Ambulance in Newark, NJ
• Providers in Newark, NJ by specialty
• Land Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.

Verify at the official NPI Registry.