Icare Ambulance Corp

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

102804 Issued in NJ

Legal business name

ICARE AMBULANCE CORP

Practice address

490 Riverview Dr
Suite 9
Totowa, NJ 07512-2340

Phone

(347) 415-1243

Fax

(732) 283-4020

NPI assigned

May 2, 2016

Organization subpart

No

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

Authorized official

Name

Ismael Awawdeh

Title

Owner

Phone

(347) 415-1243

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1942655576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 RIVERVIEW DR",
            "address_2": "SUITE 9",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122340",
            "telephone_number": "347-415-1243",
            "fax_number": "732-283-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 RIVERVIEW DR",
            "address_2": "SUITE 9",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122340",
            "telephone_number": "347-415-1243",
            "fax_number": "732-283-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE AMBULANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "AWAWDEH",
        "authorized_official_first_name": "ISMAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-415-1243"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "102804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Totowa, NJ
• Providers in Totowa, 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 May 2, 2016; 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.