Active NPI
Four Sisters Medical Transportation
Doing business as Emtrak
- Ambulance
- Lyndhurst, NJ
National Provider Identifier
1952711491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 100639
- 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, 2020
- 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
- Mrs. Perla Ordonez
- Title
- Owner
- Phone
- (201) 279-9543
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140619000059 | NJ | Part B Supplier - Ambulance Service Supplier | 4082838727 | Practice locations: Lyndhurst, NJ |
National Provider Directory
National Provider DirectoryLocations
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.