Organization Active NPI

Town of East Bridgewater

Doing business as East Bridgewater Ambulance

  • Land Ambulance
  • East Bridgewater, MA
National Provider Identifier
1386686103
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3093 Issued in MA
Legal business name
TOWN OF EAST BRIDGEWATER
Doing business as
East Bridgewater Ambulance
Practice address
268 Bedford St
East Bridgewater, MA 02333-1904
Phone
(508) 378-1325
Fax
(508) 378-1627
NPI assigned
Jun 13, 2006
Last updated
Jul 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Mr. John Dzialo
Title
Chief
Phone
(508) 378-2071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 3093 MA Primary

Addresses

Primary practice location

268 Bedford St
East Bridgewater, MA 02333-1904

Mailing address

PO Box 4110, Dept 3740
Woburn, MA 01888-4110
Phone (508) 378-2071

Other identifiers 4

IdentifierTypeStateIssuer
703318OtherMAHARVARD PILGRIM HEALTH
800853OtherMATUFTS HEALTH PLAN
038059OtherMABLUE CROSS & BLUE SHIELD
1709062MedicaidMA

Other names 1

  • East Bridgewater Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120131000711 MA Part B Supplier - Ambulance Service Supplier 6305003567 Practice locations: East Bridgewater, MA

National Provider Directory

National Provider Directory
Tax ID family
Town of East Bridgewater2 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.

Locations

268 Bedford St
East Bridgewtr, MA 02333
Phone (508) 378-1325

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1386686103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4110, DEPT 3740",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018884110",
            "telephone_number": "508-378-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 BEDFORD ST",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331904",
            "telephone_number": "508-378-1325",
            "fax_number": "508-378-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF EAST BRIDGEWATER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "DZIALO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "508-378-2071",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "703318",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "800853",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "038059",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1709062",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Bridgewater Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Bridgewater Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.