Borough of Collingswood

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

COLL00137 Issued in NJ

Legal business name

BOROUGH OF COLLINGSWOOD

Doing business as

Collingswood Fire Department

Practice address

20 W Collings Ave
Collingswood, NJ 08108-3729

Phone

(856) 854-1043

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

John Amet

Title

Chief

Phone

(856) 854-1043

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Collingswood Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083820435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1016",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080437016",
            "telephone_number": "856-784-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W COLLINGS AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081083729",
            "telephone_number": "856-854-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOROUGH OF COLLINGSWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMET",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "856-854-1043"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "COLL00137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7436301",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0668504000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0993408",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON MERCY",
            "identifier": "1065291",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "90000571900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collingswood Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juliet Caroline Bier
• Alexis Blandine, MS, RDN
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• Elaine Meredith Boland, PHD
• Alejandra Giselle Borensztein, MD
• Sharon Boylan, LPC
• Kayla T Bradshaw, LCSW
• Melanie Brima, LCSW
• Elaina Bruno, LCSW
• Sharon Buchbinder, DO

• Land Ambulance in Collingswood, NJ
• Providers in Collingswood, NJ by specialty
• Land Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.