South Tom'S River Volunteer First Aid and Rescue Squad Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1511040 Issued in NJ

Legal business name

SOUTH TOM'S RIVER VOLUNTEER FIRST AID AND RESCUE SQUAD INC

Practice address

401 Dover Rd
Toms River, NJ 08757-5238

Phone

(732) 341-3339

NPI assigned

Jun 2, 2015

Reactivated

Nov 24, 2020

Organization subpart

No

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

Authorized official

Name

Robert Krohn

Title

Chief

Phone

(732) 341-3339

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1437539780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "BEACHWOOD",
            "state": "NJ",
            "postal_code": "087220057",
            "telephone_number": "732-341-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DOVER RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087575238",
            "telephone_number": "732-341-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TOM'S RIVER VOLUNTEER FIRST AID AND RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "deactivation_date": "2020-07-15",
        "reactivation_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "KROHN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "732-341-3339"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "1511040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Land Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.