Active NPI
City of Clifton
- Land Ambulance
- Clifton, NJ
National Provider Identifier
1093701179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- N/A
- Legal business name
- CITY OF CLIFTON
- Practice address
- 900 Clifton Ave
Clifton, NJ 07013-2708 - Phone
- (732) 240-3030
- Fax
- (732) 914-0470
- NPI assigned
- Sep 23, 2005
- 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
- Ms. Daryl E D'Amore
- Title
- Chief
- Phone
- (973) 407-5801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | N/A | NJ | Primary |
Addresses
Primary practice location
900 Clifton Ave
Clifton, NJ 07013-2708
Mailing address
1000 Washington St
C/O DCM, Inc.
Toms River, NJ 08753-6855
Phone (732) 240-3030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4615301 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060123000812 | NJ | Part B Supplier - Ambulance Service Supplier | 3072537505 | Practice locations: Clifton, NJ |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Clifton Health Dept
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- State or Local Public Health Clinic/Center
- Clifton, NJ
- NPI 1134391782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234224000000",
"number": "1093701179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 WASHINGTON ST",
"address_2": "C/O DCM, INC.",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087536855",
"telephone_number": "732-240-3030",
"fax_number": "732-914-0470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070132708",
"telephone_number": "732-240-3030",
"fax_number": "732-914-0470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF CLIFTON",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-23",
"last_updated": "2009-02-10",
"status": "A",
"authorized_official_last_name": "D'AMORE",
"authorized_official_first_name": "DARYL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "973-407-5801",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NJ",
"license": "N/A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4615301",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.