Provider Demographics
NPI:1881007144
Name:ZIPCARE AMBULANCE LLC
Entity type:Organization
Organization Name:ZIPCARE AMBULANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JON
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOFFA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-835-3150
Mailing Address - Street 1:303 MOLNAR DR
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-3213
Mailing Address - Country:US
Mailing Address - Phone:201-835-3150
Mailing Address - Fax:201-221-7515
Practice Address - Street 1:303 MOLNAR DR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-3213
Practice Address - Country:US
Practice Address - Phone:201-835-3150
Practice Address - Fax:201-221-7515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance