Organization Active NPI

Gem Ambulance LLC

  • Ambulance
  • Lakewood, NJ
National Provider Identifier
1063693919
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
G1512050 Issued in NJ
Legal business name
GEM AMBULANCE LLC
Practice address
1750 Cedar Bridge Ave
Lakewood, NJ 08701-6921
Phone
(732) 575-1700
NPI assigned
Nov 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Jacob Halpern
Title
President
Phone
(732) 575-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X G1512050 NJ Primary

Addresses

Primary practice location

1750 Cedar Bridge Ave
Lakewood, NJ 08701-6921

Mailing address

PO Box 5
Lakewood, NJ 08701-0005
Phone (732) 575-1700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071217000347 NJ Part B Supplier - Ambulance Service Supplier 1658461405 Practice locations: Lakewood, NJ

National Provider Directory

National Provider Directory

Locations

307 N Bridge St
Unit 9
Elkton, MD 21921
Phone 7325751700250

307 N Bridge St
Ste 201
Elkton, MD 21921
Phone 7325751700205

501 Prospect St
Ste 109C
Lakewood, NJ 08701

1750 Cedarbridge Ave
Ste 3
Lakewood, NJ 08701
Phone 7325751700250

5865 Clayton Ave
Ste A
Pennsauken, NJ 08109
Phone 7325751700250

657 Union Blvd
#A
Totowa, NJ 07512
Phone 7325751700250

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1063693919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087010005",
            "telephone_number": "732-575-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 CEDAR BRIDGE AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087016921",
            "telephone_number": "732-575-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEM AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "HALPERN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-575-1700"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "G1512050",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 1, 2015; 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.