Organization Active NPI

Willingboro Township

  • Land Ambulance
  • Willingboro, NJ
National Provider Identifier
1003131087
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
W0311052 Issued in NJ
Legal business name
WILLINGBORO TOWNSHIP
Practice address
398 Charleston Rd
Willingboro, NJ 08046-1660
Phone
(609) 871-7476
NPI assigned
Apr 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joanne G Diggs
Title
TWP Manager
Phone
(609) 877-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X W0311052 NJ Primary

Addresses

Primary practice location

398 Charleston Rd
Willingboro, NJ 08046-1660

Mailing address

PO Box 868
Voorhees, NJ 08043-0868
Phone (856) 784-8004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100520000657 NJ Part B Supplier - Ambulance Service Supplier 2769511336 Practice locations: Willingboro, NJ

National Provider Directory

National Provider Directory

Locations

40 Middlebury Ln
Willingboro, NJ 08046
Phone (609) 261-1002

398 Charleston Rd
Willingboro, NJ 08046
Phone (609) 261-1002

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1003131087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 868",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080430868",
            "telephone_number": "856-784-8004",
            "fax_number": "856-768-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 CHARLESTON RD",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461660",
            "telephone_number": "609-871-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLINGBORO TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "DIGGS",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "TWP MANAGER",
        "authorized_official_telephone_number": "609-877-2200"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "W0311052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.