Great Meadows Emergency Medical Service

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

GREAT MEADOWS EMERGENCY MEDICAL SERVICE

Practice address

3 Regina LN
Great Meadows, NJ 07838

Phone

(908) 736-6109

NPI assigned

Aug 17, 2018

Organization subpart

No

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

Authorized official

Name

Samantha Vazquez Nicholls

Title

Treasurer

Phone

(908) 736-6109

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Great Meadows EMS Other name

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

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1447730619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18537",
            "city": "PLEASANT HILLS",
            "state": "PA",
            "postal_code": "152360537",
            "telephone_number": "800-240-6365",
            "fax_number": "724-615-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 REGINA LN",
            "city": "GREAT MEADOWS",
            "state": "NJ",
            "postal_code": "07838",
            "telephone_number": "908-736-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT MEADOWS EMERGENCY MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ NICHOLLS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "908-736-6109"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0897825",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Meadows EMS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Great Meadows EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicole Carvino
• Jonathan Andrew Condon, MS, RD
• Rebecca Rose Fiedler-Giordano, AGNP
• Foundations 4 Function, LLC
• Gleam Together, LLC.
• Great Meadows Regional School District
• Polixeni Katsaros, PT DPT
• Natalka Kitts
• National Mentor Healthcare, LLC
• New Avenues LLC

• Ambulance in Great Meadows, NJ
• Providers in Great Meadows, NJ by specialty
• Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.