Provider Demographics
NPI:1184025843
Name:FIRST MED TRANSPORT
Entity Type:Organization
Organization Name:FIRST MED TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IBRAHIM
Authorized Official - Middle Name:M
Authorized Official - Last Name:SELEVANY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-870-2835
Mailing Address - Street 1:4 LOOK OUT PT
Mailing Address - Street 2:
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-1612
Mailing Address - Country:US
Mailing Address - Phone:973-870-2835
Mailing Address - Fax:732-283-4020
Practice Address - Street 1:4 LOOK OUT PT
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-1612
Practice Address - Country:US
Practice Address - Phone:973-870-2835
Practice Address - Fax:732-283-4020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-11
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1006533416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport