Provider Demographics
NPI:1801211727
Name:HEARTBEAT MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:HEARTBEAT MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GIBSICLARY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-350-4389
Mailing Address - Street 1:PO BOX 941
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07101-0941
Mailing Address - Country:US
Mailing Address - Phone:973-350-4389
Mailing Address - Fax:973-787-9126
Practice Address - Street 1:2 LACKAWANNA PL
Practice Address - Street 2:
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-1704
Practice Address - Country:US
Practice Address - Phone:973-350-4389
Practice Address - Fax:973-787-9126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-28
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1006153416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport