Township of Hillside Fire Dept

Primary specialty

AmbulanceTaxonomy code 341600000X

License

HILL00260 Issued in NJ

Legal business name

TOWNSHIP OF HILLSIDE FIRE DEPT

Practice address

395 Hollywood Ave
Hillside, NJ 07205-2713

Phone

(908) 352-1700

Fax

(973) 921-9511

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Robert Krezl

Title

Chief

Phone

(908) 352-1700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194841684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 HOLLYWOOD AVE",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072052713",
            "telephone_number": "908-352-1700",
            "fax_number": "973-921-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 HOLLYWOOD AVE",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072052713",
            "telephone_number": "908-352-1700",
            "fax_number": "973-921-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF HILLSIDE FIRE DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KREZL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "908-352-1700"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "HILL00260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7945906",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Wellspring Health Ministry
• Michelle Sadifa Thomas, NP
• Robert Parcon Ticzon
• Phyllis Tobin, PH.D.
• Township of Hillside
• Upscale Medical Transportation
• Angela Vidal-Burke, MD
• Sandra Vincent
• Walgreen Co (Walgreens #16260)
• Maisha Lo-Rain Walters

• Ambulance in Hillside, NJ
• Providers in Hillside, NJ by specialty
• Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.