Township of Berkeley

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1511055 Issued in NJ

Legal business name

TOWNSHIP OF BERKELEY

Practice address

627 Pinewald Keswick Rd
Bayville, NJ 08721-2778

Phone

(732) 244-7400

Fax

(609) 654-2106

NPI assigned

Jan 4, 2013

Organization subpart

No

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

Authorized official

Name

Fred Ebenau

Title

Business Administrator

Phone

(732) 244-7400

Specialties & licenses 1

Addresses

Other names 1

• Berkeley Township EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1306183769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 PINEWALD KESWICK RD",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087212778",
            "telephone_number": "732-244-7400",
            "fax_number": "609-654-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 PINEWALD KESWICK RD",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087212778",
            "telephone_number": "732-244-7400",
            "fax_number": "609-654-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF BERKELEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "EBENAU",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "732-244-7400"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "1511055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berkeley Township EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Bayville, NJ
• Providers in Bayville, NJ by specialty
• Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.