Active NPI
Gem Ambulance LLC
- Ambulance
- Lakewood, NJ
National Provider Identifier
1063693919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- G1512050
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071217000347 | NJ | Part B Supplier - Ambulance Service Supplier | 1658461405 | Practice locations: Lakewood, NJ |
National Provider Directory
National Provider DirectoryLocations
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.