Port Reading First Aid Squad Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PORT READING FIRST AID SQUAD INC

Practice address

916 West Ave
Port Reading, NJ 07064-1714

Phone

(732) 636-1888

NPI assigned

May 20, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Steven Weber

Title

President

Phone

(732) 636-1888

Specialties & licenses 1

Addresses

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": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1316359706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 WEST AVE",
            "city": "PORT READING",
            "state": "NJ",
            "postal_code": "070641714",
            "telephone_number": "732-636-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 WEST AVE",
            "city": "PORT READING",
            "state": "NJ",
            "postal_code": "070641714",
            "telephone_number": "732-636-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT READING FIRST AID SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-636-1888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MKM Transit LLC
• Danielle Morella
• New Jersey Institute for Disabilities Inc
• Clementina Onohomen Okojie
• Our House, Inc.
• Darasia Christine Ragin, RN
• Riley Therapeutic Services LLC
• James Edward Riley, LPC
• Safe En Casa Home Health Agency

• All providers in Port Reading, NJ
• Land Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.