Organization Active NPI

Jersey Care Ambulance Services Inc

  • Land Ambulance
  • Pequannock, NJ
National Provider Identifier
1326106675
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
JERSEY CARE AMBULANCE SERVICES INC
Practice address
22 Pequannock Ave
Pequannock, NJ 07440
Phone
(973) 694-3305
Fax
(973) 694-0335
NPI assigned
Dec 5, 2006
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
Mr. Sumeer Toteja
Title
Billing Manager
Phone
(732) 803-1210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

22 Pequannock Ave
Pequannock, NJ 07440

Mailing address

22 Pequannock Ave
Pequannock, NJ 07440
Phone (973) 694-3305

Other identifiers 1

IdentifierTypeStateIssuer
0100013MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326106675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PEQUANNOCK AVE",
            "city": "PEQUANNOCK",
            "state": "NJ",
            "postal_code": "07440",
            "telephone_number": "973-694-3305",
            "fax_number": "973-694-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PEQUANNOCK AVE",
            "city": "PEQUANNOCK",
            "state": "NJ",
            "postal_code": "07440",
            "telephone_number": "973-694-3305",
            "fax_number": "973-694-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY CARE AMBULANCE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOTEJA",
        "authorized_official_first_name": "SUMEER",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "732-803-1210",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100013",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pequannock, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.