Organization Active NPI

Long Branch First Aid and Safety Squad Corp

  • Land Ambulance
  • Long Branch, NJ
National Provider Identifier
1376734384
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
LONGB000 Issued in NJ
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

Updated by the provider on Mar 6, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8041202MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050323000429 NJ Part B Supplier - Ambulance Service Supplier 3870549876 Practice locations: Long Branch, NJ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.