Organization Active NPI

Township of Lakewood Ocean County

  • Land Ambulance
  • Lakewood, NJ
National Provider Identifier
1053307157
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWNSHIP OF LAKEWOOD OCEAN COUNTY
Practice address
231 3Rd St
Lakewood, NJ 08701-3220
Phone
(732) 364-2500
Fax
(732) 914-0470
NPI assigned
Sep 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Authorized official

Name
Crystal Van de Zilver
Title
EMS Chief
Phone
(732) 901-8487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NJ Primary

Addresses

Primary practice location

231 3Rd St
Lakewood, NJ 08701-3220

Mailing address

1555 Pine St
Lakewood, NJ 08701-4904
Phone (732) 901-8487

Other identifiers 1

IdentifierTypeStateIssuer
6125905MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060105000538 NJ Part B Supplier - Ambulance Service Supplier 5294758231 Practice locations: Lakewood, NJ

National Provider Directory

National Provider Directory

Locations

231 3rd St
Lakewood, NJ 08701
Phone (732) 364-2500

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1053307157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 PINE ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014904",
            "telephone_number": "732-901-8487",
            "fax_number": "732-901-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 3RD ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013220",
            "telephone_number": "732-364-2500",
            "fax_number": "732-914-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF LAKEWOOD OCEAN COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "VAN DE ZILVER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "732-901-8487"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6125905",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.