South River EMS Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SOUTH RIVER EMS INC

Practice address

729 Highway 18 FL 2
East Brunswick, NJ 08816-4933

Phone

(732) 481-1910

Fax

(732) 374-4824

NPI assigned

Jun 22, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Michael Thomas Ayers, EMT

Title

Executive Director - EMS

Phone

(732) 213-2246

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1295962819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660",
            "city": "SOUTH RIVER",
            "state": "NJ",
            "postal_code": "088820660",
            "telephone_number": "732-481-1910",
            "fax_number": "732-374-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 HIGHWAY 18 FL 2",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164933",
            "telephone_number": "732-481-1910",
            "fax_number": "732-374-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH RIVER EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR - EMS",
        "authorized_official_telephone_number": "732-213-2246",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0283088",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.