Organization Active NPI

Manville First Aid & Rescue Squad

  • Ambulance
  • Manville, NJ
National Provider Identifier
1417359720
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
100646 Issued in NJ
Legal business name
MANVILLE FIRST AID & RESCUE SQUAD
Practice address
2 S 3Rd Ave
Manville, NJ 08835-1808
Phone
(908) 725-0903
Fax
(908) 231-1946
NPI assigned
Sep 17, 2014
Last updated
Sep 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
David Kohler
Title
Chief
Phone
(908) 725-0903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 100646 NJ Primary

Addresses

Primary practice location

2 S 3Rd Ave
Manville, NJ 08835-1808

Mailing address

2 S 3Rd Ave
Manville, NJ 08835-1808
Phone (908) 725-0903

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141028002298 NJ Part B Supplier - Ambulance Service Supplier 6901027374 Practice locations: Manville, NJ

National Provider Directory

National Provider Directory

Locations

2 S 3rd Ave
Manville, NJ 08835
Phone (908) 239-9086

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1417359720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 S 3RD AVE",
            "city": "MANVILLE",
            "state": "NJ",
            "postal_code": "088351808",
            "telephone_number": "908-725-0903",
            "fax_number": "908-231-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 S 3RD AVE",
            "city": "MANVILLE",
            "state": "NJ",
            "postal_code": "088351808",
            "telephone_number": "908-725-0903",
            "fax_number": "908-231-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANVILLE FIRST AID & RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "KOHLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "908-725-0903"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "100646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.