Organization Active NPI

Township of Lyndhurst

  • Land Ambulance
  • Lyndhurst, NJ
National Provider Identifier
1154651990
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
L214037 Issued in NJ
Legal business name
TOWNSHIP OF LYNDHURST
Practice address
297 Delafield Ave
Lyndhurst, NJ 07071-1464
Phone
(201) 804-0322
NPI assigned
Dec 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Eric Engelhardt
Title
EMS Supervisor
Phone
(201) 804-0322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X L214037 NJ Primary

Addresses

Primary practice location

297 Delafield Ave
Lyndhurst, NJ 07071-1464

Mailing address

367 Valley Brook Ave
Lyndhurst, NJ 07071-1810

Other names 1

  • Lyndhurst Police Emergency Squad Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100423000251 NJ Part B Supplier - Ambulance Service Supplier 3971630906 Practice locations: Lyndhurst, NJ

National Provider Directory

National Provider Directory
Tax ID family
Township of Lyndhurst2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

367 Valley Brook Ave
Lyndhurst, NJ 07071

297 Delafield Ave
Lyndhurst, NJ 07071
Phone (201) 804-0322

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1154651990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 VALLEY BROOK AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 DELAFIELD AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711464",
            "telephone_number": "201-804-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF LYNDHURST",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "ENGELHARDT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "EMS SUPERVISOR",
        "authorized_official_telephone_number": "201-804-0322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "L214037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lyndhurst Police Emergency Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lyndhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.