Organization Active NPI

South Brunswick EMS, Inc.

  • Land Ambulance
  • Monmouth Junction, NJ
National Provider Identifier
1346229572
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SOUTH BRUNSWICK EMS, INC.
Practice address
540 Ridge Rd
Monmouth Junction, NJ 08852-2643
Phone
(732) 329-4000
Fax
(732) 329-6325
NPI assigned
Jan 16, 2006
Last updated
Sep 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Mr. Ken Kersch
Title
President
Phone
(732) 329-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NJ Primary

Addresses

Primary practice location

540 Ridge Rd
Monmouth Junction, NJ 08852-2643

Mailing address

540 Ridge Rd
Monmouth Junction, NJ 08852-2643
Phone (732) 329-4000

Other identifiers 1

IdentifierTypeStateIssuer
0034908MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040421001324 NJ Part B Supplier - Ambulance Service Supplier 7214923770 Practice locations: Kendall Park, NJ; Monmount Junction, NJ; Monmouth Junction, NJ; Princeton, NJ

National Provider Directory

National Provider Directory

Locations

364 New Rd
Monmouth Junction, NJ 08852
Phone (732) 400-5300

4250 US Highway 1
Ste 103
Monmouth Junction, NJ 08852
Phone (888) 843-6060

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1346229572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 RIDGE RD",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522643",
            "telephone_number": "732-329-4000",
            "fax_number": "732-329-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 RIDGE RD",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522643",
            "telephone_number": "732-329-4000",
            "fax_number": "732-329-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BRUNSWICK EMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "KERSCH",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-329-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0034908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monmouth Junction, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.