Borough of Spotswood

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BOROUGH OF SPOTSWOOD

Practice address

77 Summerhill Road
Spotswood, NJ 08884

Phone

(732) 251-0700

Fax

(732) 251-1359

NPI assigned

May 31, 2006

Last updated

Aug 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas Servis

Title

EMS Director

Phone

(732) 251-0700

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Borough of Spotswood2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Spotswood EMS

  • Ambulance
  • Spotswood, NJ
  • NPI 1437486230
  NPD tax ID

Locations

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1508803685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CENTER STREET",
            "address_2": "PO BOX 274",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "08080",
            "telephone_number": "888-723-4494",
            "fax_number": "888-449-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SUMMERHILL ROAD",
            "city": "SPOTSWOOD",
            "state": "NJ",
            "postal_code": "08884",
            "telephone_number": "732-251-0700",
            "fax_number": "732-251-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOROUGH OF SPOTSWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "SERVIS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "732-251-0700"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099881",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Azer, PHARM. D
• Sanjay R Balsara
• Kenneth Evan Band, DMD
• Biomed Clinical Solution LLC
• Donna Blake, BCBA
• Nicole Anne Cabrera, RPH
• Jennifer Cahn
• Dominique Carlson
• Central Jersey Caring Dental
• Gloria Cerniglia, RPH

• Land Ambulance in Spotswood, NJ
• Providers in Spotswood, 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 Aug 7, 2023; 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.