Organization Active NPI

Four Sisters Medical Transportation

Doing business as Emtrak

  • Ambulance
  • Lyndhurst, NJ
National Provider Identifier
1952711491
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
100639 Issued in NJ
Legal business name
FOUR SISTERS MEDICAL TRANSPORTATION
Doing business as
Emtrak
Practice address
612 Riverside Ave
Lyndhurst, NJ 07071-3004
Phone
(201) 613-4413
Fax
(201) 355-8567
NPI assigned
May 6, 2014
Last updated
Apr 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Authorized official

Name
Mrs. Perla Ordonez
Title
Owner
Phone
(201) 279-9543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 100639 NJ Primary

Addresses

Primary practice location

612 Riverside Ave
Lyndhurst, NJ 07071-3004

Mailing address

612 Riverside Ave
Lyndhurst, NJ 07071-3004
Phone (201) 613-4413

Other names 1

  • EMTRAK Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140619000059 NJ Part B Supplier - Ambulance Service Supplier 4082838727 Practice locations: Lyndhurst, NJ

National Provider Directory

National Provider Directory

Locations

612 Riverside Ave
Lyndhurst, NJ 07071
Phone (201) 613-4413

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1952711491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 RIVERSIDE AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713004",
            "telephone_number": "201-613-4413",
            "fax_number": "201-355-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 RIVERSIDE AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713004",
            "telephone_number": "201-613-4413",
            "fax_number": "201-355-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SISTERS MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "ORDONEZ",
        "authorized_official_first_name": "PERLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-279-9543",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "100639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMTRAK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lyndhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.