Organization Active NPI

Laurel Lake Volunteer Fire and Rescue Co., Inc.

  • Land Ambulance
  • Millville, NJ
National Provider Identifier
1093127052
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
NOT YET ISSUED Issued in NJ
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20140909000563 NJ Part B Supplier - Ambulance Service Supplier 5294954152 Practice locations: Millville, NJ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.