Organization Active NPI

Whitehouse First Aid & Rescue Squad

  • Ambulance
  • Whitehouse Station, NJ
National Provider Identifier
1023097268
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
WHITE028 Issued in NJ
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

Updated by the provider on Feb 20, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8588201MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050315000234 NJ Part B Supplier - Ambulance Service Supplier 3870548662 Practice locations: Whitehouse Station, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2308138Whitehouse Rescue Squad Inc269 Main Street, Whitehouse Station, NJ 08889Certificate of waiverJul 22, 2028

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.