Active NPI
Regional Ambulance Service
- Ambulance
- Bloomfield, NJ
National Provider Identifier
1003644527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241105003439 | NJ | Part B Supplier - Ambulance Service Supplier | 4587198130 | Practice locations: Montclair, NJ |
National Provider Directory
National Provider DirectoryLocations
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.