Organization Active NPI

Marlboro First Aid & Rescue Squad Inc

  • Land Ambulance
  • Marlboro, NJ
National Provider Identifier
1629545884
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Nov 15, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1311036OtherNJNJ DOH

Other names 1

  • Marlboro First Aid Squad Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190408000018 NJ Part B Supplier - Ambulance Service Supplier 1355682063 Practice locations: Marlboro, NJ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.