Organization Active NPI

Direct Emergency Medical Services LLC

  • Land Ambulance
  • Elmwood Park, NJ
National Provider Identifier
1972912020
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
100699 Issued in NJ
Legal business name
DIRECT EMERGENCY MEDICAL SERVICES LLC
Practice address
440 Market St
Suite 4B
Elmwood Park, NJ 07407-2618
Phone
(201) 773-9393
Fax
(201) 773-9394
NPI assigned
Aug 3, 2014
Last updated
Oct 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Shara A Rondon
Title
President
Phone
(862) 373-5164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 100699 NJ Primary

Addresses

Primary practice location

440 Market St
Suite 4B
Elmwood Park, NJ 07407-2618

Mailing address

440 Market St
Suite 4B
Elmwood Park, NJ 07407-2618
Phone (201) 773-9393

National Provider Directory

National Provider Directory

Locations

440 Market St
Ste 4B
Elmwood Park, NJ 07407
Phone (201) 773-9393

NPI Registry JSON

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

{
    "created_epoch": "1407024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1972912020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MARKET ST",
            "address_2": "SUITE 4B",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072618",
            "telephone_number": "201-773-9393",
            "fax_number": "201-773-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MARKET ST",
            "address_2": "SUITE 4B",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072618",
            "telephone_number": "201-773-9393",
            "fax_number": "201-773-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT EMERGENCY MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-03",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "RONDON",
        "authorized_official_first_name": "SHARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "862-373-5164"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "100699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.