Medforce Ambulance Medical Services

Primary specialty

AmbulanceTaxonomy code 341600000X

License

100569 Issued in NJ

Legal business name

MEDFORCE AMBULANCE MEDICAL SERVICES

Practice address

60 E Barbour St
1St Floor
Haledon, NJ 07508-1546

Phone

(201) 275-7310

NPI assigned

Jan 24, 2013

Last updated

Apr 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Diaz, EMT

Title

President

Phone

(201) 275-7310

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1336487461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 E BARBOUR ST",
            "address_2": "1ST FLOOR",
            "city": "HALEDON",
            "state": "NJ",
            "postal_code": "075081546",
            "telephone_number": "201-275-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E BARBOUR ST",
            "address_2": "1ST FLOOR",
            "city": "HALEDON",
            "state": "NJ",
            "postal_code": "075081546",
            "telephone_number": "201-275-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORCE AMBULANCE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-275-7310",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "100569",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "100569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.