Delran Emergency Squad

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

D0311009 Issued in NJ

Legal business name

DELRAN EMERGENCY SQUAD

Practice address

900 S Chester Ave
Delran, NJ 08075-1234

Phone

(856) 461-1210

NPI assigned

Aug 12, 2008

Last updated

May 8, 2024By 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

Mary E Matzer

Title

Treasure

Phone

(856) 461-1210

Specialties & licenses 2

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": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1356597173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E TAUNTON RD STE 500",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080092615",
            "telephone_number": "866-476-1702",
            "fax_number": "609-481-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S CHESTER AVE",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751234",
            "telephone_number": "856-461-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELRAN EMERGENCY SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "MATZER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "TREASURE",
        "authorized_official_telephone_number": "856-461-1210"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "D0311009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn C Davis, PT
• Robyn Veronica Davis
• Michael Day
• Rebecca L Delisi, PT, DPT
• Delran Dental & Specialty Group, LLC (Brighter Dental Care (Delran))
• Delran Eye Associates LLC
• Delran Family Practice
• Delran Internal Medicine LLC
• Delran Pharmacy
• Delran Township School District

• Land Ambulance in Delran, NJ
• Providers in Delran, NJ by specialty
• Land Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.