# NACIREMA AMBULANCE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740535533
- **Authorized official:** MR. IBRAHIM A DIRWEESH (CEO)
- **Authorized official phone:** (973) 732-8501

## Contact information

- **Practice address:** 2 LACKAWANNA PL, SOUTH ORANGE, NJ 07079
- **Practice address phone:** (973) 732-8501
- **Mailing address:** PO BOX 221, LIVINGSTON, NJ 07039-0221
- **Mailing address phone:** (973) 732-8501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | Yes |
| 3416L0300X | Land Ambulance | — | NULL | — |

## Other

- **Enumeration date:** 07/17/2012
- **Last updated:** 11/24/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000000 | MEDICARE PART B | NJ |