City of Ventnor
Organization Active NPI Land Ambulance · Ventnor, NJ
NPI 1609855840 · NPPES record last updated Nov 6, 2008
Key facts
- NPI
- 1609855840
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- VENT00607 (NJ)
- Legal business name
- CITY OF VENTNOR
- Practice address
- 20 N New Haven Ave
Ventnor, NJ 08406-2130 - Phone
- (609) 823-7942
- Fax
- (609) 823-7767
- NPI assigned
- Jan 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Bert Sabo
- Title
- Chief
- Phone
- (609) 823-7942
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050420000225 | NJ | Part B Supplier - Ambulance Service Supplier | 3870531999 | Practice locations: Ventnor City, NJ |
National Provider Directory
Locations
20 N New Haven Ave
Ventnor City, NJ 08406
Phone (609) 823-7942
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | VENT00607 | NJ | Yes |
Addresses
Primary practice location
20 N New Haven Ave
Ventnor, NJ 08406-2130
Mailing address
PO Box 1016
Voorhees, NJ 08043-7016
Phone (856) 784-8004
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0060291 | Medicaid | NJ |
Other names
- Ventnor City Fire Department
Other providers in Ventnor, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.