Organization Active NPI

Old Bridge Township Emergency Medical Services Inc

  • Ambulance
  • Old Bridge, NJ
National Provider Identifier
1326141771
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
APPLICATION 1213060 Issued in NJ
Legal business name
OLD BRIDGE TOWNSHIP EMERGENCY MEDICAL SERVICES INC
Practice address
1 Old Bridge PLZ
Old Bridge, NJ 08857
Phone
(732) 721-5600
NPI assigned
Sep 7, 2006
Last updated
Sep 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
David W Merwin
Title
President
Phone
(732) 742-9212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X APPLICATION 1213060 NJ Primary

Addresses

Primary practice location

1 Old Bridge PLZ
Old Bridge, NJ 08857

Mailing address

PO Box 1146
Lawrence Harbor, NJ 08879-4146
Phone (732) 742-9212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070130000671 NJ Part B Supplier - Ambulance Service Supplier 7315948544 Practice locations: Matawan, NJ

National Provider Directory

National Provider Directory

Locations

123 Highway 34
Matawan, NJ 07747
Phone (732) 675-0864

1 Old Bridge Plz
Old Bridge, NJ 08857
Phone (732) 721-5600

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1326141771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1146",
            "city": "LAWRENCE HARBOR",
            "state": "NJ",
            "postal_code": "088794146",
            "telephone_number": "732-742-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OLD BRIDGE PLZ",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-721-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD BRIDGE TOWNSHIP EMERGENCY MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "MERWIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-742-9212"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "APPLICATION 1213060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.