Organization Active NPI

Regional Ambulance Service

  • Ambulance
  • Bloomfield, NJ
National Provider Identifier
1003644527
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
REGIONAL AMBULANCE SERVICE
Practice address
395 Franklin St Ste 204
Bloomfield, NJ 07003-3404
Phone
(732) 867-7242
NPI assigned
Jul 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Farley Charles, RRT
Title
Ceo
Phone
(973) 780-0821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

395 Franklin St Ste 204
Bloomfield, NJ 07003-3404

Mailing address

PO Box 8023
Glen Ridge, NJ 07028-8023

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241105003439 NJ Part B Supplier - Ambulance Service Supplier 4587198130 Practice locations: Montclair, NJ

National Provider Directory

National Provider Directory

Locations

395 Franklin St
Ste 204
Bloomfield, NJ 07003
Phone (732) 867-7242

70 S Orange Ave
Ste 220
Livingston, NJ 07039
Phone (973) 626-2350

101 Park St
Unit B1
Montclair, NJ 07042

101 Park St
Montclair, NJ 07042
Phone (973) 464-1542

101 Park St
#B1
Montclair, NJ 07042
Phone (973) 780-0821

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1003644527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8023",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070288023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 FRANKLIN ST STE 204",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033404",
            "telephone_number": "732-867-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "FARLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-780-0821",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.