Active NPI
Township of Lakewood Ocean County
- Land Ambulance
- Lakewood, NJ
National Provider Identifier
1053307157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6125905 | 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 |
|---|---|---|---|---|
| O20060105000538 | NJ | Part B Supplier - Ambulance Service Supplier | 5294758231 | Practice locations: Lakewood, NJ |
National Provider Directory
National Provider DirectoryLocations
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.