Organization Active NPI

Washington Township Ambulance Association

  • Ambulance
  • Turnersville, NJ
National Provider Identifier
1417088436
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
WASH00626 Issued in NJ
Legal business name
WASHINGTON TOWNSHIP AMBULANCE ASSOCIATION
Doing business as
Washington Township Ambulance & Rescue Association
Practice address
4 Willow St
Turnersville, NJ 08012-1647
Phone
(856) 232-6151
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Authorized official

Name
Richard A Fowler
Title
GM
Phone
(856) 228-5995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X WASH00626 NJ Primary

Addresses

Primary practice location

4 Willow St
Turnersville, NJ 08012-1647

Mailing address

PO Box 1016
Voorhees, NJ 08043-7016
Phone (856) 784-3715

Other identifiers 10

IdentifierTypeStateIssuer
116320500OtherNJDEPT OF LABOR
91000324400OtherNJAMERICHOICE
0712649000OtherNJAMERIHEALTH
590013044OtherNJRAILROAD MEDICARE
1087133OtherNJHORIZON NJ HEALTH
0712649000OtherNJKEYSTONE
2065390OtherNJAETNA
33172OtherNJHEALTH PARTNERS
0075673210002OtherNJPENNSYLVANIA MEDICAID
7769709MedicaidNJ

Other names 1

  • Washington Township Ambulance & Rescue Association Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050331000050 NJ Part B Supplier - Ambulance Service Supplier 8426005620 Practice locations: Turnersville, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2322244Washington Township Ambulance4 Willow St, Blackwood, NJ 08012Certificate of waiverApr 16, 2027

National Provider Directory

National Provider Directory

Locations

900 Medical Center Dr
Sewell, NJ 08080
Phone (856) 309-7726

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1417088436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1016",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080437016",
            "telephone_number": "856-784-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WILLOW ST",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121647",
            "telephone_number": "856-232-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON TOWNSHIP AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "GM",
        "authorized_official_telephone_number": "856-228-5995"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "WASH00626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "116320500",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "91000324400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0712649000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590013044",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1087133",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0712649000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2065390",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "33172",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA MEDICAID",
            "identifier": "0075673210002",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7769709",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Township Ambulance & Rescue Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Turnersville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.