Wantage Township First Aid Squad

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

WANTAGE TOWNSHIP FIRST AID SQUAD

Doing business as

High Point Regional Emergency Medical Service

Practice address

888 State RT 23
Sussex, NJ 07461-3327

Phone

(973) 296-0274

NPI assigned

Mar 11, 2024

Organization subpart

No

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

Authorized official

Name

Andrew D Smetana, EMT

Title

Operations Lieutenant

Phone

(973) 296-0274

Specialties & licenses 1

Addresses

Other names 1

• High Point Regional Emergency Medical Service Doing business as

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": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1659139996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721",
            "city": "SUSSEX",
            "state": "NJ",
            "postal_code": "074610721",
            "telephone_number": "973-296-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 STATE RT 23",
            "city": "SUSSEX",
            "state": "NJ",
            "postal_code": "074613327",
            "telephone_number": "973-296-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANTAGE TOWNSHIP FIRST AID SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "SMETANA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPERATIONS LIEUTENANT",
        "authorized_official_telephone_number": "973-296-0274",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Point Regional Emergency Medical Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Carol Vickery, MD
• Adriane Villanueva, LPC
• Ross M Wagner, PHARM.D.
• Walgreen Co
• Wantage Physical Rehabilitation LLC
• James Philip Warner, LPC
• Willowglen Academy - New Jersey. Inc.
• Willowglen Academy - New Jersey. Inc.
• Willowglen Academy-New Jersey, Inc.
• Willowglen Academy-New Jersey, Inc.

• Land Ambulance in Sussex, NJ
• Providers in Sussex, NJ by specialty
• Land Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.