Organization Active NPI

Mansfield Township Ambulance Corps

  • Ambulance
  • Columbus, NJ
National Provider Identifier
1225154271
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
MANS04005 Issued in NJ
Legal business name
MANSFIELD TOWNSHIP AMBULANCE CORPS
Practice address
41 Fieldcrest Dr
Columbus, NJ 08022-1965
Phone
(609) 298-3392
NPI assigned
Mar 21, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
George Louis Senf Jr.
Title
Chief
Phone
(609) 298-3392

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
31D2324431Mansfield Township Ambulance Corps41 Fieldcrest Drive, Columbus, NJ 08022Certificate of waiverMay 22, 2027

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20050202000212 NJ Part B Supplier - Ambulance Service Supplier 7315998812 Practice locations: Columbus, NJ

National Provider Directory

National Provider Directory

Locations

41 Fieldcrest Dr
Columbus, NJ 08022
Phone (609) 261-1002

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X MANS04005 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

41 Fieldcrest Dr
Columbus, NJ 08022-1965

Mailing address

PO Box 1016
Voorhees, NJ 08043-7016
Phone (856) 784-8004

Other identifiers 5

NPPES NPI Registry
IdentifierTypeStateIssuer
3754679OtherNJAETNA
2354079000OtherNJAMERIHEALTH
0054577MedicaidNJ
60012308OtherNJHORIZON NJ HEALTH
2354079000OtherNJKEYSTONE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 12, 2024.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1225154271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1016",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080437016",
            "telephone_number": "856-784-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 FIELDCREST DR",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080221965",
            "telephone_number": "609-298-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD TOWNSHIP AMBULANCE CORPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "SENF",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "609-298-3392",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "MANS04005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3754679",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2354079000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054577",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60012308",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2354079000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.