Active NPI
Morganville First Aid & Rescue Squad Inc.
- Basic Emergency Medical Technician
- Morganville, NJ
National Provider Identifier
1225658115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- Legal business name
- MORGANVILLE FIRST AID & RESCUE SQUAD INC.
- Practice address
- 277 Tennent Road
Morganville, NJ 07751 - Phone
- (732) 591-1200
- NPI assigned
- Apr 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Thornbury, EMT
- Title
- 2ND Lieutenant
- Phone
- (732) 610-9717
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | Primary | ||
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
277 Tennent Road
Morganville, NJ 07751
Mailing address
PO Box 310
Morganville, NJ 07751-0310
Phone (732) 591-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240725001156 | NJ | Part B Supplier - Ambulance Service Supplier | 7012453111 | Practice locations: Morganville, NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587427200000",
"number": "1225658115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 310",
"city": "MORGANVILLE",
"state": "NJ",
"postal_code": "077510310",
"telephone_number": "732-591-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 TENNENT ROAD",
"city": "MORGANVILLE",
"state": "NJ",
"postal_code": "07751",
"telephone_number": "732-591-1200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORGANVILLE FIRST AID & RESCUE SQUAD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-21",
"last_updated": "2020-04-21",
"certification_date": "2020-04-21",
"status": "A",
"authorized_official_last_name": "THORNBURY",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "2ND LIEUTENANT",
"authorized_official_telephone_number": "732-610-9717",
"authorized_official_credential": "EMT"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Basic",
"state": null,
"license": null,
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morganville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.