Active NPI
Laurel Lake Volunteer Fire and Rescue Co., Inc.
- Land Ambulance
- Millville, NJ
National Provider Identifier
1093127052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- NOT YET ISSUED
- Legal business name
- LAUREL LAKE VOLUNTEER FIRE AND RESCUE CO., INC.
- Practice address
- 5436 Battle LN
Millville, NJ 08332-6159 - Phone
- (609) 463-8075
- Fax
- (856) 765-3450
- NPI assigned
- May 27, 2014
- Last updated
- Nov 13, 2025
- 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
- Kristopher Stratton
- Title
- Administrator
- Phone
- (856) 825-6767
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NOT YET ISSUED | NJ | Primary |
Addresses
Primary practice location
5436 Battle LN
Millville, NJ 08332-6159
Mailing address
PO Box 349
Millville, NJ 08332-0349
Phone (856) 825-6767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140909000563 | NJ | Part B Supplier - Ambulance Service Supplier | 5294954152 | Practice locations: Millville, NJ |
National Provider Directory
National Provider DirectoryLocations
5436 Battle Ln
Millville, NJ 08332
Phone (609) 463-8075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762992000000",
"number": "1093127052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 349",
"city": "MILLVILLE",
"state": "NJ",
"postal_code": "083320349",
"telephone_number": "856-825-6767",
"fax_number": "856-765-3450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5436 BATTLE LN",
"city": "MILLVILLE",
"state": "NJ",
"postal_code": "083326159",
"telephone_number": "609-463-8075",
"fax_number": "856-765-3450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAUREL LAKE VOLUNTEER FIRE AND RESCUE CO., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-27",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A",
"authorized_official_last_name": "STRATTON",
"authorized_official_first_name": "KRISTOPHER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "856-825-6767"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NJ",
"license": "NOT YET ISSUED",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.