Organization Active NPI

Rescueheart Medical Services

  • Land Ambulance
  • Woodland Park, NJ
National Provider Identifier
1265857171
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
100620 Issued in NJ
Legal business name
RESCUEHEART MEDICAL SERVICES
Practice address
256 Bergen Blvd Ste 101
Woodland Park, NJ 07424-2502
Phone
(973) 304-4386
Fax
(973) 304-4388
NPI assigned
Feb 28, 2014
Last updated
Sep 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Herold J. Nelson
Title
President
Phone
(862) 888-2328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 100620 NJ Primary

Addresses

Primary practice location

256 Bergen Blvd Ste 101
Woodland Park, NJ 07424-2502

Mailing address

256 Bergen Blvd Ste 101
Woodland Park, NJ 07424-2502
Phone (973) 304-4386

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140325000407 NJ Part B Supplier - Ambulance Service Supplier 5496986093 Practice locations: Woodland Park, NJ

National Provider Directory

National Provider Directory

Locations

544 Lafayette Ave
Hawthorne, NJ 07506
Phone (973) 304-4386

256 Bergen Blvd
Woodland Park, NJ 07424
Phone (973) 304-4386

NPI Registry JSON

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1265857171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 BERGEN BLVD STE 101",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242502",
            "telephone_number": "973-304-4386",
            "fax_number": "973-304-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 BERGEN BLVD STE 101",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242502",
            "telephone_number": "973-304-4386",
            "fax_number": "973-304-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESCUEHEART MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "HEROLD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "862-888-2328"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "100620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.