Organization Active NPI

Asbury Park City

  • Land Ambulance
  • Asbury Park, NJ
National Provider Identifier
1659562668
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
ASBU00059 Issued in NJ
Legal business name
ASBURY PARK CITY
Practice address
1 Municipal PLZ
Asbury Park, NJ 07712-7026
Phone
(732) 502-5709
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Authorized official

Name
Joann Boos
Title
Cfo
Phone
(732) 502-5709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X ASBU00059 NJ Primary

Addresses

Primary practice location

1 Municipal PLZ
Asbury Park, NJ 07712-7026

Mailing address

1 Municipal PLZ
Asbury Park, NJ 07712-7026
Phone (732) 502-5792

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040819001058 NJ Part B Supplier - Ambulance Service Supplier 3274507975 Practice locations: Asbury Park, NJ

National Provider Directory

National Provider Directory

Locations

800 Main St
Asbury Park, NJ 07712
Phone (732) 502-5709

1 Municipal Plz
Asbury Park, NJ 07712
Phone (732) 502-5709

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1659562668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MUNICIPAL PLZ",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077127026",
            "telephone_number": "732-502-5792",
            "fax_number": "732-775-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MUNICIPAL PLZ",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077127026",
            "telephone_number": "732-502-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASBURY PARK CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "BOOS",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "732-502-5709"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "ASBU00059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asbury Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.