Organization Active NPI

Cherry Hill Fire District 13

  • Ambulance
  • Cherry Hill, NJ
National Provider Identifier
1275664823
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
CHEREMS3 Issued in NJ
Legal business name
CHERRY HILL FIRE DISTRICT 13
Practice address
301 Burnt Mill Rd
Cherry Hill, NJ 08003-3906
Phone
(856) 795-9897
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dan Direnzo
Title
Administrator
Phone
(856) 795-9897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X CHEREMS3 NJ Primary

Addresses

Primary practice location

301 Burnt Mill Rd
Cherry Hill, NJ 08003-3906

Mailing address

PO Box 1016
Voorhees, NJ 08043-7016
Phone (856) 784-3715

Other identifiers 6

IdentifierTypeStateIssuer
0012149MedicaidNJ
1555709OtherNJIBC
60001800OtherNJHORIZON NJ HEALTH
2238727000OtherNJAMERIHEALTH
3364879OtherNJAETNA
91001183700OtherNJAMERICHOICE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040311000001 NJ Part B Supplier - Ambulance Service Supplier 0547159493 Practice locations: Cherry Hill, NJ

National Provider Directory

National Provider Directory

Locations

301 Burnt Mill Rd
Cherry Hill, NJ 08003
Phone (856) 795-9805

1100 Marlkress Rd
Cherry Hill, NJ 08003
Phone (856) 795-9805

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275664823",
    "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": "856-784-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BURNT MILL RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033906",
            "telephone_number": "856-795-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY HILL FIRE DISTRICT 13",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIRENZO",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "856-795-9897"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "CHEREMS3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012149",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "1555709",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60001800",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2238727000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3364879",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "91001183700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.