Tabernacle Rescue Squad, Inc

Organization Active NPI Land Ambulance · Tabernacle, NJ

NPI 1376881979 · NPPES record last updated May 22, 2025

Key facts

NPI
1376881979
Entity type
Organization (NPI type 2)
Primary specialty
Land Ambulance 3416L0300X
Legal business name
TABERNACLE RESCUE SQUAD, INC
Practice address
134 New Road
Tabernacle, NJ 08088-8574
Phone
(609) 268-0671
Fax
(724) 234-4703
NPI assigned
Jan 17, 2013
Organization subpart
No

Authorized official

Name
Cuyler Vena
Title
President
Phone
(609) 268-0671

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20130715000106 NJ Part B Supplier - Ambulance Service Supplier 6204076391 Practice locations: Tabernacle, NJ

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0311042 NJ
Land Ambulance 3416L0300X Yes

Addresses

Primary practice location

134 New Road
Tabernacle, NJ 08088-8574

Mailing address

PO Box 18533
Pittsburgh, PA 15236-0533
Phone (800) 240-6365

Other providers in Tabernacle, NJ

All providers in Tabernacle, NJ · Land Ambulance in New Jersey

Sources for this page

Verify at the official NPI Registry.