Active NPI
Upper Deerfield Township
- Land Ambulance
- Seabrook, NJ
National Provider Identifier
1033149851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- UPPER DEERFIELD TOWNSHIP
- Practice address
- 10 Hoover Rd
Seabrook, NJ 08302 - Phone
- (856) 455-2779
- NPI assigned
- Jul 4, 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
- Mr. Roy Spoltore
- Title
- Administrator
- Phone
- (856) 455-7348
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NJ | Primary |
Addresses
Primary practice location
10 Hoover Rd
Seabrook, NJ 08302
Mailing address
PO Box 5038
Seabrook, NJ 08302-5038
Phone (856) 455-2779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060727000307 | NJ | Part B Supplier - Ambulance Service Supplier | 5799798302 | Practice locations: Seabrook, NJ |
National Provider Directory
National Provider DirectoryLocations
1325 Highway 77
Bridgeton, NJ 08302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1033149851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5038",
"city": "SEABROOK",
"state": "NJ",
"postal_code": "083025038",
"telephone_number": "856-455-2779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 HOOVER RD",
"city": "SEABROOK",
"state": "NJ",
"postal_code": "08302",
"telephone_number": "856-455-2779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPPER DEERFIELD TOWNSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SPOLTORE",
"authorized_official_first_name": "ROY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "856-455-7348",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seabrook, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.