Active NPI
Washington Township Ambulance Association
- Ambulance
- Turnersville, NJ
National Provider Identifier
1417088436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- WASH00626
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116320500 | Other | NJ | DEPT OF LABOR |
| 91000324400 | Other | NJ | AMERICHOICE |
| 0712649000 | Other | NJ | AMERIHEALTH |
| 590013044 | Other | NJ | RAILROAD MEDICARE |
| 1087133 | Other | NJ | HORIZON NJ HEALTH |
| 0712649000 | Other | NJ | KEYSTONE |
| 2065390 | Other | NJ | AETNA |
| 33172 | Other | NJ | HEALTH PARTNERS |
| 0075673210002 | Other | NJ | PENNSYLVANIA MEDICAID |
| 7769709 | Medicaid | NJ |
Other names 1
- Washington Township Ambulance & Rescue Association
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050331000050 | NJ | Part B Supplier - Ambulance Service Supplier | 8426005620 | Practice locations: Turnersville, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2322244 | Washington Township Ambulance | Certificate of waiver | Apr 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.