Provider Demographics
NPI:1316138019
Name:ALPHA CARE AMBULANCE CORP
Entity type:Organization
Organization Name:ALPHA CARE AMBULANCE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SUMEER
Authorized Official - Middle Name:
Authorized Official - Last Name:TOTEJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-906-1800
Mailing Address - Street 1:21 E 19TH ST
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07524-1307
Mailing Address - Country:US
Mailing Address - Phone:973-279-1777
Mailing Address - Fax:973-279-8764
Practice Address - Street 1:21 E 19TH ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07524-1307
Practice Address - Country:US
Practice Address - Phone:973-279-1777
Practice Address - Fax:973-279-8764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJALPH0003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0073695Medicaid
NJ073253Medicare PIN