Provider Demographics
NPI:1073374732
Name:NJCARE AMBULANCE LLC
Entity Type:Organization
Organization Name:NJCARE AMBULANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAULANT
Authorized Official - Middle Name:
Authorized Official - Last Name:BAJRAKTARI
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:862-596-8104
Mailing Address - Street 1:301 ROUTE 17 STE 800
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-2581
Mailing Address - Country:US
Mailing Address - Phone:201-266-0255
Mailing Address - Fax:
Practice Address - Street 1:301 ROUTE 17 STE 800
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-2581
Practice Address - Country:US
Practice Address - Phone:973-517-6258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-19
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport