NPIMap

Organization Active NPI

Support Services of America Inc.

  • Non-emergency Medical Transport (VAN)
  • Pine Hill, NJ
National Provider Identifier
1174075790
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SUPPORT SERVICES OF AMERICA INC.
Practice address
35 Congress Rd
Pine Hill, NJ 08021-6533
Phone
(856) 761-5316
Fax
(856) 513-0110
NPI assigned
Oct 31, 2016
Last updated
Oct 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Mr. Walter Johnson
Title
President/Ceo
Phone
(856) 761-5316

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

35 Congress Rd
Pine Hill, NJ 08021-6533

Mailing address

35 Congress Rd
Pine Hill, NJ 08021-6533
Phone (856) 761-5316

National Provider Directory

National Provider Directory
Tax ID family
Ssa2 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.

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1174075790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CONGRESS RD",
            "city": "PINE HILL",
            "state": "NJ",
            "postal_code": "080216533",
            "telephone_number": "856-761-5316",
            "fax_number": "856-513-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CONGRESS RD",
            "city": "PINE HILL",
            "state": "NJ",
            "postal_code": "080216533",
            "telephone_number": "856-761-5316",
            "fax_number": "856-513-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT SERVICES OF AMERICA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "856-761-5316",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.