Organization Active NPI

McCabe Ambulance Service Inc.

  • Ambulance
  • Bayonne, NJ
National Provider Identifier
1396756292
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
MCCABE AMBULANCE SERVICE INC.
Practice address
764 Kennedy Blvd
Bayonne, NJ 07002-2859
Phone
(201) 858-1200
Fax
(201) 823-2210
NPI assigned
Aug 10, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. H. Mickey McCabe
Title
Owner
Phone
(201) 858-8001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

764 Kennedy Blvd
Bayonne, NJ 07002-2859

Mailing address

764 Kennedy Blvd
Bayonne, NJ 07002-2859
Phone (201) 858-1200

Other identifiers 1

IdentifierTypeStateIssuer
8055807MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100108000386 NJ Part B Supplier - Ambulance Service Supplier 1456492735 Practice locations: Bayonne, NJ

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

764 Kennedy Blvd
Bayonne, NJ 07002
Phone (201) 858-1200

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396756292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022859",
            "telephone_number": "201-858-1200",
            "fax_number": "201-823-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022859",
            "telephone_number": "201-858-1200",
            "fax_number": "201-823-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCABE AMBULANCE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "H. MICKEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-858-8001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8055807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.