Tri-Boro First Aid Squad Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

T151045 Issued in NJ

Legal business name

TRI-BORO FIRST AID SQUAD INC.

Practice address

37 J Street
Seaside Park, NJ 08752

Phone

(732) 830-3236

NPI assigned

Oct 2, 2007

Last updated

Nov 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Marie S Rice, MICP

Title

Captain

Phone

(732) 830-3236

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1013104181",
    "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": "08043",
            "telephone_number": "732-830-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 J STREET",
            "city": "SEASIDE PARK",
            "state": "NJ",
            "postal_code": "08752",
            "telephone_number": "732-830-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-BORO FIRST AID SQUAD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "732-830-3236",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MICP"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "T151045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica O'Gara -Mankowski, BA/MSW
• Kelly B Petrone, OT
• Seaside Pharmacy
• Edward Charles Shadiack Jr., D.O.
• Kenn Treidel, RP

• Ambulance in Seaside Park, NJ
• Providers in Seaside Park, NJ by specialty
• Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.