Organization Active NPI

Sparta Ambulance Service Inc

  • Ambulance
  • Sparta, NJ
National Provider Identifier
1184978520
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
SPARTA AMBULANCE SERVICE INC
Practice address
14 Sparta Ave
Sparta, NJ 07871-1802
Phone
(973) 726-4040
Fax
(973) 726-4041
NPI assigned
Nov 7, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Andrew D Smetana
Title
President
Phone
(973) 726-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NJ Primary

Addresses

Primary practice location

14 Sparta Ave
Sparta, NJ 07871-1802

Mailing address

14 Sparta Ave
Sparta, NJ 07871-1802
Phone (973) 726-4040

Other names 1

  • Sparta Ambulance Squad Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130802000161 NJ Part B Supplier - Ambulance Service Supplier 5890936827 Practice locations: Sparta, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2327664Sparta Ambulance Service, Inc14 Sparta Ave, Sparta, NJ 07871Certificate of waiverJul 27, 2027

National Provider Directory

National Provider Directory

Locations

14 Sparta Ave
Sparta, NJ 07871
Phone (973) 726-0635

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1184978520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SPARTA AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711802",
            "telephone_number": "973-726-4040",
            "fax_number": "973-726-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SPARTA AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711802",
            "telephone_number": "973-726-4040",
            "fax_number": "973-726-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTA AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMETANA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-726-4040"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparta Ambulance Squad",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sparta, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.