=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538566138
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | METRO AMBULANCE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/25/2014
-----------------------------------------------------
Last Update Date | 07/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 43 RIVER RD
-----------------------------------------------------
City | NUTLEY
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07110-3411
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-214-2201
-----------------------------------------------------
Fax | 201-398-8080
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 43 RIVER RD
-----------------------------------------------------
City | NUTLEY
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07110-3411
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-214-2201
-----------------------------------------------------
Fax | 201-398-8080
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ELIDON DELIAJ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 201-214-2201
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number | 101731
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------