Upper Township

Primary specialty

AmbulanceTaxonomy code 341600000X

License

U0511013 Issued in NJ

Legal business name

UPPER TOWNSHIP

Practice address

2028 Route 631
Woodbine, NJ 08270-9630

Phone

(609) 628-2486

Fax

(609) 628-4610

NPI assigned

Jun 13, 2007

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay D Potter, NREMT

Title

Chief

Phone

(609) 628-2486

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1649474586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 ROUTE 631",
            "city": "WOODBINE",
            "state": "NJ",
            "postal_code": "08270",
            "telephone_number": "609-628-2486",
            "fax_number": "609-628-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 ROUTE 631",
            "city": "WOODBINE",
            "state": "NJ",
            "postal_code": "082709630",
            "telephone_number": "609-628-2486",
            "fax_number": "609-628-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "609-628-2486",
        "authorized_official_credential": "NREMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "U0511013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Woodbine Board of Education
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• Ambulance in Woodbine, NJ
• Providers in Woodbine, NJ by specialty
• Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.