Organization Active NPI

Matawan-Aberdeen First Aid Squad

  • Land Ambulance
  • Matawan, NJ
National Provider Identifier
1639423874
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MATAWAN-ABERDEEN FIRST AID SQUAD
Practice address
28 Little Street
Matawan, NJ 07747
Phone
(732) 395-3536
Fax
(732) 441-1350
NPI assigned
Nov 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Mr. Justin Fata
Title
President
Phone
(908) 770-7079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

28 Little Street
Matawan, NJ 07747

Mailing address

28 Little Street
Matawan, NJ 07747
Phone (732) 395-3536

Other names 1

  • Bayshore Emergency Medical Services, INC Doing business as

National Provider Directory

National Provider Directory

Locations

260 Church St
Aberdeen, NJ 07747
Phone (732) 203-0224

28 Little St
Matawan, NJ 07747
Phone (732) 395-3536

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1639423874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 LITTLE STREET",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "07747",
            "telephone_number": "732-395-3536",
            "fax_number": "732-441-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 LITTLE STREET",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "07747",
            "telephone_number": "732-395-3536",
            "fax_number": "732-441-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATAWAN-ABERDEEN FIRST AID SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "FATA",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-770-7079",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayshore Emergency Medical Services, INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bayshore Emergency Medical Services, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.