Organization Active NPI

Tabernacle Rescue Squad, Inc

  • Land Ambulance
  • Tabernacle, NJ
National Provider Identifier
1376881979
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 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
Last updated
May 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

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

Specialties & licenses 2

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

Addresses

Primary practice location

134 New Road
Tabernacle, NJ 08088-8574

Mailing address

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

Medicare participation

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

Enrollment records 1

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1376881979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18533",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152360533",
            "telephone_number": "800-240-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 NEW ROAD",
            "city": "TABERNACLE",
            "state": "NJ",
            "postal_code": "080888574",
            "telephone_number": "609-268-0671",
            "fax_number": "724-234-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABERNACLE RESCUE SQUAD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "VENA",
        "authorized_official_first_name": "CUYLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-268-0671"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "0311042",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tabernacle, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.