NPIMap

Organization Active NPI

Fairfield Township

  • Land Ambulance
  • Fairfield, NJ
National Provider Identifier
1669463402
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
FAIRFIELD TOWNSHIP
Practice address
43 Main Street
Fairfield, NJ 08320
Phone
(856) 451-3676
NPI assigned
Nov 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Steven Bateman
Title
Chief
Phone
(856) 451-3676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

43 Main Street
Fairfield, NJ 08320

Mailing address

PO Box 66
Bridgeton, NJ 08320-0066
Phone (800) 473-2278

Other identifiers 10

IdentifierTypeStateIssuer
0X00200379OtherACS HEALTH NET COMMERCIAL
5113903MedicaidNJ
1079100OtherKEYSTONE MERCY HMO DPA
0X00200379OtherPHS HEALTHPLAN COMMERCIAL
91000397400OtherAMERICHOICE OF NJ INC
91000397400OtherAMERICAN CHOICE
0120129OtherAETNA USHC BLUE BELL HMO
0X00200379OtherACS HEALTH NET HMO MDC
0X00200379OtherPHS HEALTH PLAN HMO MDC
0X00200379OtherQUALMED

Other names 1

  • Fairfield Twp Amb Srvc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1669463402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083200066",
            "telephone_number": "800-473-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 MAIN STREET",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "08320",
            "telephone_number": "856-451-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "BATEMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "856-451-3676"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS HEALTH NET COMMERCIAL",
            "identifier": "0X00200379",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5113903",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HMO DPA",
            "identifier": "1079100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS HEALTHPLAN COMMERCIAL",
            "identifier": "0X00200379",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE OF NJ INC",
            "identifier": "91000397400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN CHOICE",
            "identifier": "91000397400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHC BLUE BELL HMO",
            "identifier": "0120129",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS HEALTH NET HMO MDC",
            "identifier": "0X00200379",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS HEALTH PLAN HMO MDC",
            "identifier": "0X00200379",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALMED",
            "identifier": "0X00200379",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfield Twp Amb Srvc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.