Active NPI
Marlboro First Aid & Rescue Squad Inc
- Land Ambulance
- Marlboro, NJ
National Provider Identifier
1629545884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- MARLBORO FIRST AID & RESCUE SQUAD INC
- Practice address
- 146 Wyncrest Rd
Marlboro, NJ 07746-1646 - Phone
- (732) 536-1166
- NPI assigned
- Oct 25, 2018
- 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
- Robert Cembor
- Title
- President
- Phone
- (732) 536-1166
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
146 Wyncrest Rd
Marlboro, NJ 07746-1646
Mailing address
146 Wyncrest Rd
Marlboro, NJ 07746-1646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1311036 | Other | NJ | NJ DOH |
Other names 1
- Marlboro First Aid Squad
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190408000018 | NJ | Part B Supplier - Ambulance Service Supplier | 1355682063 | Practice locations: Marlboro, NJ |
National Provider Directory
National Provider DirectoryLocations
140 Wyncrest Rd
Marlboro, NJ 07746
Phone (732) 536-1166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542240000000",
"number": "1629545884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 WYNCREST RD",
"city": "MARLBORO",
"state": "NJ",
"postal_code": "077461646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 WYNCREST RD",
"city": "MARLBORO",
"state": "NJ",
"postal_code": "077461646",
"telephone_number": "732-536-1166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARLBORO FIRST AID & RESCUE SQUAD INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-25",
"last_updated": "2018-11-15",
"status": "A",
"authorized_official_last_name": "CEMBOR",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-536-1166"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ DOH",
"identifier": "1311036",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Marlboro First Aid Squad",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Marlboro First Aid Squad",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marlboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.