Active NPI
Township of Lyndhurst
- Land Ambulance
- Lyndhurst, NJ
National Provider Identifier
1154651990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- L214037
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100423000251 | NJ | Part B Supplier - Ambulance Service Supplier | 3971630906 | Practice locations: Lyndhurst, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Township of Lyndhurst
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Lyndhurst, NJ
- NPI 1639615511
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.