City of Elizabeth

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CITY OF ELIZABETH

Practice address

50 Winfield Scott PLZ RM 101
Elizabeth, NJ 07201-2408

Phone

(908) 820-4104

Fax

(908) 820-4236

NPI assigned

Aug 31, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Laura Ellen Bollwage

Title

Supervisor EMS Billing

Phone

(908) 820-4104

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

City of Elizabeth2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• City of Elizabeth Department of Health and Human Services

  • Community Health Clinic/Center
  • Elizabeth, NJ
  • NPI 1306659560
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Gould, M.D.

  • Family Medicine Physician
  • Belleville, NJ
  • NPI 1801944921
  NPD (past)
• William J Lowe III, MD

  • Obstetrics & Gynecology Physician
  • New Brunswick, NJ
  • NPI 1831155241
  NPD (past)
• Susan Walsh, MD

  • Internal Medicine Physician
  • Plainfield, NJ
  • NPI 1205845039
  NPD (past)
• Susan Brady

  • Family Nurse Practitioner
  • Minneapolis, MN
  • NPI 1568619328
  NPD (past)
• Hetal K Dhruva, MD

  • Pediatrics Physician
  • Bel Air, MD
  • NPI 1861615700
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1366435745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WINFIELD SCOTT PLZ",
            "address_2": "ROOM G10",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012408",
            "telephone_number": "908-820-4098",
            "fax_number": "908-820-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WINFIELD SCOTT PLZ RM 101",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012408",
            "telephone_number": "908-820-4104",
            "fax_number": "908-820-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ELIZABETH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "BOLLWAGE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "SUPERVISOR EMS BILLING",
        "authorized_official_telephone_number": "908-820-4104",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4044908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Z. Cinberg, MD
• Jessica Cingire, LCSW
• Denise M Circonciso, P.T.
• Maria Del Carmen Cisnero, M.D
• April Cistrelli, LCSW
• City of Elizabeth Department of Health and Human Services
• Breia L Clarke
• Miata Clay
• Paula L Clinton, DTR
• Josiane Cobert, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.