Organization Active NPI

Lodi Volunteer Ambulance Rescue Squad, Inc.

  • Ambulance
  • Lodi, NJ
National Provider Identifier
1275662462
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
LODI VOLUNTEER AMBULANCE RESCUE SQUAD, INC.
Practice address
72 Kimmig Avenue
Lodi, NJ 07644-1418
Phone
(973) 546-3488
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Mr. Joseph Taormina
Title
Treasurer
Phone
(973) 546-1069

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Land Ambulance 3416L0300X L0211036 NJ

Addresses

Primary practice location

72 Kimmig Avenue
Lodi, NJ 07644-1418

Mailing address

P.O. Box 299
Lodi, NJ 07644
Phone (973) 546-1069

Other identifiers 1

IdentifierTypeStateIssuer
0129330MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070326000136 NJ Part B Supplier - Ambulance Service Supplier 4688778046 Practice locations: Lodi, NJ

National Provider Directory

National Provider Directory

Locations

72 Kimmig Ave
Lodi, NJ 07644
Phone (973) 546-3488

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1275662462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 299",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "07644",
            "telephone_number": "973-546-1069",
            "fax_number": "973-478-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 KIMMIG AVENUE",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441418",
            "telephone_number": "973-546-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODI VOLUNTEER AMBULANCE RESCUE SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "TAORMINA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "973-546-1069",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "L0211036",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0129330",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.