Wanamassa First Aid Squad

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1311074 Issued in NJ

Legal business name

WANAMASSA FIRST AID SQUAD

Practice address

1401 Wickapecko Drive
Ocean, NJ 07712-4201

Phone

(732) 915-4304

Fax

(732) 988-3089

NPI assigned

Apr 3, 2012

Organization subpart

No

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

Authorized official

Name

Earl H Gifford

Title

Trustee

Phone

(732) 433-0901

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1578829628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 WICKAPECKO DR",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124201",
            "telephone_number": "732-455-0748",
            "fax_number": "732-988-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 WICKAPECKO DRIVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124201",
            "telephone_number": "732-915-4304",
            "fax_number": "732-988-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANAMASSA FIRST AID SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "GIFFORD",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "732-433-0901"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "1311074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Franc Haral Vilgue
• Vip Psychiatry, LLC
• Tara Vitale, DPT
• Jamie Von Reyn, PA-C
• Melissa Waldron, PT
• Carla Ward, CD(DONA)
• Janis Waters, LPC
• Lawrence Ronald Waters, PT
• Wegmans Food Markets, Inc.
• Rachel Weitzenkorn, MSW, LCSW

• Land Ambulance in Ocean, NJ
• Providers in Ocean, 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 Feb 16, 2022; 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.