Active NPI
Whitehouse First Aid & Rescue Squad
- Ambulance
- Whitehouse Station, NJ
National Provider Identifier
1023097268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- WHITE028
- Legal business name
- WHITEHOUSE FIRST AID & RESCUE SQUAD
- Practice address
- 269 Main St
Whitehouse Station, NJ 08889-3620 - Phone
- (908) 534-2509
- Fax
- (908) 534-2585
- NPI assigned
- Jan 16, 2006
- 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
- Robert J Rainey
- Title
- President
- Phone
- (908) 534-2509
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | WHITE028 | NJ | Primary |
| Land Ambulance | 3416L0300X | WHITE028 | NJ |
Addresses
Primary practice location
269 Main St
Whitehouse Station, NJ 08889-3620
Mailing address
PO Box 175
Whitehouse Station, NJ 08889-0175
Phone (908) 534-2509
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8588201 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050315000234 | NJ | Part B Supplier - Ambulance Service Supplier | 3870548662 | Practice locations: Whitehouse Station, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2308138 | Whitehouse Rescue Squad Inc | Certificate of waiver | Jul 22, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361318400000",
"number": "1023097268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 175",
"city": "WHITEHOUSE STATION",
"state": "NJ",
"postal_code": "088890175",
"telephone_number": "908-534-2509",
"fax_number": "908-534-2585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 MAIN ST",
"city": "WHITEHOUSE STATION",
"state": "NJ",
"postal_code": "088893620",
"telephone_number": "908-534-2509",
"fax_number": "908-534-2585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITEHOUSE FIRST AID & RESCUE SQUAD",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-16",
"last_updated": "2013-02-20",
"status": "A",
"authorized_official_last_name": "RAINEY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "908-534-2509"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NJ",
"license": "WHITE028",
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NJ",
"license": "WHITE028",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8588201",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whitehouse Station, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.