Organization Active NPI

Iron Bound Ambulance Squad, Inc.

  • Land Ambulance
  • Newark, NJ
National Provider Identifier
1083831309
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
IRN05006 Issued in NJ
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

Updated by the provider on Jul 18, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0093785MedicaidNJ

Other names 1

  • Ironbound Ambulance Squad, Inc. Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.