Active NPI
Cherry Hill Fire District 13
- Ambulance
- Cherry Hill, NJ
National Provider Identifier
1275664823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- CHEREMS3
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012149 | Medicaid | NJ | |
| 1555709 | Other | NJ | IBC |
| 60001800 | Other | NJ | HORIZON NJ HEALTH |
| 2238727000 | Other | NJ | AMERIHEALTH |
| 3364879 | Other | NJ | AETNA |
| 91001183700 | Other | NJ | AMERICHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040311000001 | NJ | Part B Supplier - Ambulance Service Supplier | 0547159493 | Practice locations: Cherry Hill, NJ |
National Provider Directory
National Provider DirectoryLocations
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.