Provider Demographics
NPI:1538566138
Name:METRO AMBULANCE LLC
Entity type:Organization
Organization Name:METRO AMBULANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELIDON
Authorized Official - Middle Name:
Authorized Official - Last Name:DELIAJ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-214-2201
Mailing Address - Street 1:7 DANIEL DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR GROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:07009-1526
Mailing Address - Country:US
Mailing Address - Phone:201-214-2201
Mailing Address - Fax:201-398-8080
Practice Address - Street 1:160 JOHNSON AVE STE 14
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-4901
Practice Address - Country:US
Practice Address - Phone:201-214-2201
Practice Address - Fax:201-603-6634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-25
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1017313416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ380956Medicare PIN