Active NPI
Matawan-Aberdeen First Aid Squad
- Land Ambulance
- Matawan, NJ
National Provider Identifier
1639423874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.