Active NPI
Lakewood Hatzolah, LLC
- Ambulance
- Lakewood, NJ
National Provider Identifier
1598000648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- LAKEWOOD HATZOLAH, LLC
- Practice address
- 501 County Line Road
Lakewood, NJ 08701 - Phone
- (732) 363-5600
- Fax
- (732) 363-5658
- NPI assigned
- Nov 30, 2012
- Last updated
- Jun 17, 2013
- 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
- Simon Joseph Zeldes
- Title
- Officer
- Phone
- (732) 363-5600
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1512014 | NJ | |
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
501 County Line Road
Lakewood, NJ 08701
Mailing address
PO Box 256
Lakewood, NJ 08701
Phone (732) 363-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130806000618 | NJ | Part B Supplier - Ambulance Service Supplier | 0941442891 | Practice locations: Lakewood, NJ |
National Provider Directory
National Provider DirectoryLocations
501 W County Line Rd
Lakewood, NJ 08701
Phone (732) 363-5600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371427200000",
"number": "1598000648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 256",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "08701",
"telephone_number": "732-363-5600",
"fax_number": "732-363-5658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 COUNTY LINE ROAD",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "08701",
"telephone_number": "732-363-5600",
"fax_number": "732-363-5658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEWOOD HATZOLAH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-30",
"last_updated": "2013-06-17",
"status": "A",
"authorized_official_last_name": "ZELDES",
"authorized_official_first_name": "SIMON",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "732-363-5600"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NJ",
"license": "1512014",
"primary": false
},
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
- Lakewood Family and Cosmetic Dental Care, PC
- Lakewood Family Dental
- Lakewood First Aid & Emergency Squad Inc.
- Lakewood Foot and Ankle Specialist, LLC
- Lakewood Foot and Ankle Specialists
- Lakewood Hospitalists
- Lakewood Immediate Care
- Lakewood Kids and Adolescent Dentistry
- Lakewood Obstetrics & Gynecology PA
- Lakewood Pediatric Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.