Organization Active NPI

Gloucester Township EMS Alliance Inc

  • Ambulance
  • Blackwood, NJ
National Provider Identifier
1619008265
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
GEB0032 Issued in NJ
Legal business name
GLOUCESTER TOWNSHIP EMS ALLIANCE INC
Practice address
109 N Black Horse Pike
Suite 5D
Blackwood, NJ 08012-3098
Phone
(856) 481-8429
Fax
(856) 481-4930
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Authorized official

Name
Ray Currey
Title
President
Phone
(856) 481-4829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X GEB0032 NJ Primary

Addresses

Primary practice location

109 N Black Horse Pike
Suite 5D
Blackwood, NJ 08012-3098

Mailing address

PO Box 1016
Voorhees, NJ 08043-7016
Phone (856) 784-3715

Other identifiers 9

IdentifierTypeStateIssuer
590014943OtherNJRAILROAD MEDICARE
1144886OtherNJHORIZON NJ HEALTH
2007030000OtherNJAMERIHEALTH
2007030000OtherNJKEYSTONE
J19901OtherNJHEALTHNET
2530700OtherNJAETNA
8807604MedicaidNJ
91000249300OtherNJAMERICHOICE
34319OtherNJHEALTH PARTNERS

National Provider Directory

National Provider Directory

Locations

109 N Black Horse Pike
#5D
Blackwood, NJ 08012
Phone (856) 481-4829

109 N Black Horse Pike
Ste 5D
Blackwood, NJ 08012
Phone (856) 481-8429

1109 Erial Rd
Pine Hill, NJ 08021
Phone (856) 481-4829

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1619008265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1016",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080437016",
            "telephone_number": "856-784-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N BLACK HORSE PIKE",
            "address_2": "SUITE 5D",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080123098",
            "telephone_number": "856-481-8429",
            "fax_number": "856-481-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOUCESTER TOWNSHIP EMS ALLIANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "CURREY",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-481-4829"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "GEB0032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014943",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1144886",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2007030000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2007030000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "J19901",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2530700",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8807604",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "91000249300",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "34319",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.