Borough of Maywood

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

M0211040 Issued in NJ

Legal business name

BOROUGH OF MAYWOOD

Practice address

15 Park Ave
Maywood, NJ 07607-2015

Phone

(201) 845-2900

Fax

(201) 909-0673

NPI assigned

Apr 28, 2009

Organization subpart

Yes

Parent organization

BOROUGH OF MAYWOODAs reported in NPPES

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

Authorized official

Name

Mr. Thomas H Richards

Title

Borough Administrator

Phone

(201) 845-2900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maywood EMS Other name

Part of

Borough of Maywood

Locations

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1457595985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PARK AVE",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076072015",
            "telephone_number": "201-845-2900",
            "fax_number": "201-909-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARK AVE",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076072015",
            "telephone_number": "201-845-2900",
            "fax_number": "201-909-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOROUGH OF MAYWOOD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOROUGH OF MAYWOOD",
        "enumeration_date": "2009-04-28",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BOROUGH ADMINISTRATOR",
        "authorized_official_telephone_number": "201-845-2900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "M0211040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197220",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maywood EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ivan Bilbao-Lavieja, PA
• Anna Blazejowskyj, MD
• Marissa Bocchiaro, DMD
• Bonleven Healthcare
• Ben Boonstra, OTR/L
• BTR Home Care LLC
• Brittany Franciska Bucko
• Andrea Calabro, PT
• Matthew David Cannon, MAED, MAT, BCBA
• Liza Dorado Capistrano, RN

• All providers in Maywood, NJ
• Land Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.