Active NPI
Iron Bound Ambulance Squad, Inc.
- Land Ambulance
- Newark, NJ
National Provider Identifier
1083831309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- IRN05006
- Legal business name
- IRON BOUND AMBULANCE SQUAD, INC.
- Practice address
- 399 New York Ave
Newark, NJ 07105-3126 - Phone
- (973) 589-3796
- NPI assigned
- Apr 19, 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
- Mr. Manuel Oliveria
- Title
- President
- Phone
- (973) 589-3796
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | IRN05006 | NJ | Primary |
Addresses
Primary practice location
399 New York Ave
Newark, NJ 07105-3126
Mailing address
PO Box 207
Allentown, PA 18105-0207
Phone (484) 664-2007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0093785 | Medicaid | NJ |
Other names 1
- Ironbound Ambulance Squad, Inc.
National Provider Directory
National Provider DirectoryLocations
399 New York Ave
Newark, NJ 07105
Phone (973) 589-3796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216339200000",
"number": "1083831309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 207",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181050207",
"telephone_number": "484-664-2007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 NEW YORK AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071053126",
"telephone_number": "973-589-3796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRON BOUND AMBULANCE SQUAD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-19",
"last_updated": "2008-07-18",
"status": "A",
"authorized_official_last_name": "OLIVERIA",
"authorized_official_first_name": "MANUEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-589-3796",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NJ",
"license": "IRN05006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0093785",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ironbound Ambulance Squad, Inc.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.