Borough of Fair Lawn

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

B0211019 Issued in NJ

Legal business name

BOROUGH OF FAIR LAWN

Doing business as

Borough of Fair Lawn Ambulance Corps

Practice address

1 Coopers Way
Fair Lawn, NJ 07410-3117

Phone

(201) 794-5310

Fax

(201) 794-9859

NPI assigned

Feb 20, 2012

Organization subpart

No

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

Authorized official

Name

Mr. James Vankruiningen Jr.

Title

Borough Administrator

Phone

(201) 794-5310

Specialties & licenses 1

Addresses

Other names 1

• BOROUGH OF FAIR LAWN AMBULANCE CORPS Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1528331683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COOPERS WAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103117",
            "telephone_number": "201-794-5310",
            "fax_number": "201-794-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPERS WAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103117",
            "telephone_number": "201-794-5310",
            "fax_number": "201-794-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOROUGH OF FAIR LAWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "VANKRUININGEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "BOROUGH ADMINISTRATOR",
        "authorized_official_telephone_number": "201-794-5310",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "B0211019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOROUGH OF FAIR LAWN AMBULANCE CORPS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BOROUGH OF FAIR LAWN AMBULANCE CORPS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yedida Bomzer, PSY.D.
• Kristen Bondarenko, SLP
• Kim Boon, LMSW
• Gary S Borer, PHD
• Ariela Borgen, OTR
• Borough of Fair Lawn
• Yunuke Nyambeka Bosire, DNP, FNP,BC
• Victor Botnick, DDS
• Youssef Botros
• Yael Boyarsky, MD

• Land Ambulance in Fair Lawn, NJ
• Providers in Fair Lawn, 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 Mar 29, 2021; 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.