NPIMap

Organization Active NPI

Hopatcong Ambulance Service Inc

  • Land Ambulance
  • Hopatcong, NJ
National Provider Identifier
1003147794
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
H1911010 Issued in NJ
Legal business name
HOPATCONG AMBULANCE SERVICE INC
Practice address
516 River Styx Rd
Hopatcong, NJ 07843-1827
Phone
(973) 770-0440
Fax
(973) 810-5589
NPI assigned
Jan 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Authorized official

Name
Rita Russomanno
Title
President
Phone
(973) 770-0440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X H1911010 NJ Primary

Addresses

Primary practice location

516 River Styx Rd
Hopatcong, NJ 07843-1827

Mailing address

PO Box 1016
Voorhees, NJ 08043-7016
Phone (856) 784-3715

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100317000714 NJ Part B Supplier - Ambulance Service Supplier 4486789393 Practice locations: Hopatcong, NJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1003147794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1016",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080437016",
            "telephone_number": "856-784-3715",
            "fax_number": "856-768-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 RIVER STYX RD",
            "city": "HOPATCONG",
            "state": "NJ",
            "postal_code": "078431827",
            "telephone_number": "973-770-0440",
            "fax_number": "973-810-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPATCONG AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "RUSSOMANNO",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-770-0440"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "H1911010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopatcong, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.