Provider Demographics
NPI:1467827972
Name:SAFE CARE AMBULANCE, LLC
Entity Type:Organization
Organization Name:SAFE CARE AMBULANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:D
Authorized Official - Last Name:SISKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-416-6667
Mailing Address - Street 1:8998 ROUTE 18 NORTH
Mailing Address - Street 2:SUITE 205
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8998 ROUTE 18 N
Practice Address - Street 2:SUITE 205
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-3360
Practice Address - Country:US
Practice Address - Phone:732-416-6667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-09
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
341600000X
NJ1028173416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ102807OtherNEW JERSEY DHSS BLS/MAV