Organization Active NPI

Springfield First Aid Squad, Inc.

  • Land Ambulance
  • Springfield, NJ
National Provider Identifier
1033459771
Registry record updated Feb 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SPRINGFIELD FIRST AID SQUAD, INC.
Practice address
10 Trivett Ave N
Springfield, NJ 07081-1739
Phone
(973) 908-8367
NPI assigned
Feb 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2013

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

Authorized official

Name
Apu Mullick
Title
Captain
Phone
(973) 908-8367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

10 Trivett Ave N
Springfield, NJ 07081-1739

Mailing address

PO Box 247
Springfield, NJ 07081-0247
Phone (973) 908-8367

Other names 1

  • Springfield EMS Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130715000693 NJ Part B Supplier - Ambulance Service Supplier 4688814619 Practice locations: Springfield, 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
31D2324187Springfield First Aid Squad10 N Trivett Ave, Springfield, NJ 07081Certificate of waiverMay 19, 2027

National Provider Directory

National Provider Directory

Locations

10 Trivett Ave N
Springfield, NJ 07081
Phone (973) 908-8367

NPI Registry JSON

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

{
    "created_epoch": "1361059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361059200000",
    "number": "1033459771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070810247",
            "telephone_number": "973-908-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TRIVETT AVE N",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811739",
            "telephone_number": "973-908-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD FIRST AID SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-17",
        "last_updated": "2013-02-17",
        "status": "A",
        "authorized_official_last_name": "MULLICK",
        "authorized_official_first_name": "APU",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "973-908-8367"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Springfield, NJ

Sources for this page

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