Active NPI
Long Branch First Aid and Safety Squad Corp
- Land Ambulance
- Long Branch, NJ
National Provider Identifier
1376734384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- LONGB000
- Legal business name
- LONG BRANCH FIRST AID AND SAFETY SQUAD CORP
- Practice address
- 134 Belmont Ave
Long Branch, NJ 07740-6707 - Phone
- (732) 222-6772
- Fax
- (732) 222-6772
- NPI assigned
- Aug 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sumeer Toteja
- Title
- Billing Manager
- Phone
- (732) 906-1800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | LONGB000 | NJ | Primary |
Addresses
Primary practice location
134 Belmont Ave
Long Branch, NJ 07740-6707
Mailing address
134 Belmont Ave
Long Branch, NJ 07740-6707
Phone (732) 222-6772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8041202 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050323000429 | NJ | Part B Supplier - Ambulance Service Supplier | 3870549876 | Practice locations: Long Branch, NJ |
National Provider Directory
National Provider DirectoryLocations
134 Belmont Ave
Long Branch, NJ 07740
Phone (732) 222-6772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362528000000",
"number": "1376734384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 BELMONT AVE",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "077406707",
"telephone_number": "732-222-6772",
"fax_number": "732-222-6772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 BELMONT AVE",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "077406707",
"telephone_number": "732-222-6772",
"fax_number": "732-222-6772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONG BRANCH FIRST AID AND SAFETY SQUAD CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-05",
"last_updated": "2013-03-06",
"status": "A",
"authorized_official_last_name": "TOTEJA",
"authorized_official_first_name": "SUMEER",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "732-906-1800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NJ",
"license": "LONGB000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8041202",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Branch, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.