Active NPI
Roseland First Aid Squad
- Land Ambulance
- Roseland, NJ
National Provider Identifier
1588401707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- ROSELAND FIRST AID SQUAD
- Practice address
- 300 Eagle Rock Ave
Roseland, NJ 07068-1719 - Phone
- (973) 403-6062
- NPI assigned
- Jul 15, 2024
- Last updated
- Dec 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Geraghty
- Title
- Director of Paid Services
- Phone
- (201) 452-6444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
300 Eagle Rock Ave
Roseland, NJ 07068-1719
Mailing address
PO Box 14
Roseland, NJ 07068-0014
Phone (973) 403-6062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241231000965 | NJ | Part B Supplier - Ambulance Service Supplier | 2264969393 | Practice locations: Roseland, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2335972 | Roseland First Aid Squad | Certificate of waiver | Dec 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
300 Eagle Rock Ave
Roseland, NJ 07068
Phone (973) 403-6062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734480000000",
"number": "1588401707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14",
"city": "ROSELAND",
"state": "NJ",
"postal_code": "070680014",
"telephone_number": "973-403-6062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 EAGLE ROCK AVE",
"city": "ROSELAND",
"state": "NJ",
"postal_code": "070681719",
"telephone_number": "973-403-6062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSELAND FIRST AID SQUAD",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-15",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A",
"authorized_official_last_name": "GERAGHTY",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "DIRECTOR OF PAID SERVICES",
"authorized_official_telephone_number": "201-452-6444",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.