Active NPI
Rescueheart Medical Services
- Land Ambulance
- Woodland Park, NJ
National Provider Identifier
1265857171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 100620
- 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, 2024
- 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
- Herold J. Nelson
- Title
- President
- Phone
- (862) 888-2328
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140325000407 | NJ | Part B Supplier - Ambulance Service Supplier | 5496986093 | Practice locations: Woodland Park, NJ |
National Provider Directory
National Provider DirectoryLocations
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
- Payal P. Ramakrishnan, OD
- Mannan Razzak, M.D.
- Nadia Mohsin Razzak, MD
- Betsey Rene, PT, DPT
- Rescue Heart Home Health Care
- Resources for Human Development, Inc.
- RK Medical Services LLC
- Rna Chiropractic LLC (Beyond Chiropractic)
- Rodrico Gordon Adult - Gerontology NP P.C.
- Melanie Rodriguez, M.S.W., L.S.W.
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.