Provider Demographics
NPI:1427037647
Name:LINDEN EMERGENCY MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:LINDEN EMERGENCY MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:EDYTA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUDNIAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-474-8623
Mailing Address - Street 1:12 N STILES ST
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-4213
Mailing Address - Country:US
Mailing Address - Phone:908-474-8623
Mailing Address - Fax:908-862-8165
Practice Address - Street 1:12 N STILES ST
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-4213
Practice Address - Country:US
Practice Address - Phone:908-474-8623
Practice Address - Fax:908-862-8165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-16
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJLIND006543416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8084106Medicaid
NJ034073Medicare PIN