OrganizationNacirema Ambulance CorporationAmbulanceTransportation ServicesPractice Address2 Lackawanna Pl, South Orange, NJ 07079(973) 732-8501PECOS EnrollmentBased on the most recent information from CMS, provider Nacirema Ambulance Corporation does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1740535533Provider TypeOrganizationFull NameNacirema Ambulance CorporationSubpartNoEnumeration Date7/17/2012Last Updated11/24/2012Contact InformationPractice LocationPractice Address2 Lackawanna Pl, South Orange, NJ 07079Phone(973) 732-8501FaxUnlisted FaxMailing LocationMailing AddressPO Box 221, Livingston, NJ 07039-0221Phone(973) 732-8501FaxUnlisted FaxAuthorized OfficialNameDirweesh, Ibrahim A (Ceo)Phone(973) 732-8501Provider TaxonomiesCodeDescriptionLicenseCode341600000XPrimaryDescriptionAmbulanceTransportation ServicesLicenseUnlisted IssuerCode3416L0300XDescriptionAmbulanceTransportation ServicesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID0000000DescriptionOtherIssuerMEDICARE PART BNew Jersey