Millstone TWP BD of Fire Commissioners

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MILLSTONE TWP BD OF FIRE COMMISSIONERS

Practice address

461 Stagecoach Rd
Millstone Township, NJ 08510-1406

Phone

(609) 259-2560

NPI assigned

Nov 20, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Michael Maloney

Title

Lieutenant

Phone

(609) 259-2560

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MILLSTONE TOWNSHIP FIRE DISTRICT #1 Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1164025128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83",
            "city": "CLARKSBURG",
            "state": "NJ",
            "postal_code": "085100083",
            "telephone_number": "609-259-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 STAGECOACH RD",
            "city": "MILLSTONE TOWNSHIP",
            "state": "NJ",
            "postal_code": "085101406",
            "telephone_number": "609-259-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLSTONE TWP BD OF FIRE COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "LIEUTENANT",
        "authorized_official_telephone_number": "609-259-2560",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "1311089",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILLSTONE TOWNSHIP FIRE DISTRICT #1",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MILLSTONE TOWNSHIP FIRE DISTRICT #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yuri Mazur, MD
• Beth McGinley, LAC
• Stafford Malcus McIsaacs Sr., R.N.,
• Medic Care Mobile LLC
• Millstone Concierge Physicians
• Himani Modi
• Nicole E Moore, M.A. CCC/SLP
• Austin Moy
• Thomas J Murphy
• National Mentor Healthcare, LLC

• Land Ambulance in Millstone Township, NJ
• Providers in Millstone Township, NJ by specialty
• Land Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.