Active NPI
Township of Egg Harbor
- Ambulance
- Egg Harbor Township, NJ
National Provider Identifier
1669515516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- EHT03106
- Legal business name
- TOWNSHIP OF EGG HARBOR
- Practice address
- 3125 Fire Rd
Egg Harbor Township, NJ 08234-9601 - Phone
- (609) 383-0003
- NPI assigned
- Feb 14, 2007
- 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
- Peter A Miller
- Title
- Administrator
- Phone
- (609) 926-4044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | EHT03106 | NJ | Primary |
Addresses
Primary practice location
3125 Fire Rd
Egg Harbor Township, NJ 08234-9601
Mailing address
3515 Bargaintown Rd
Egg Harbor Township, NJ 08234-8317
Phone (609) 926-4044
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0041459 | Medicaid | NJ | |
| 2264666000 | Other | NJ | INDEPENDENCE BLUE CROSS |
| 2264666000 | Other | NJ | ELECTRONIC AMERIHEALTH |
| P00147449 | Other | NJ | MEDICARE RAILROAD |
| 2264666000 | Other | NJ | KEYSTONE |
| 60004051 | Other | NJ | HORIZON NJ HEALTH |
| 91001253300 | Other | NJ | AMERICHOICE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040331000865 | NJ | Part B Supplier - Ambulance Service Supplier | 2961494984 | Practice locations: Egg Harbor TWP, NJ |
National Provider Directory
National Provider DirectoryLocations
3515 Bargaintown Rd
Egg Harbor Township, NJ 08234
3125 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 383-0003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1669515516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 BARGAINTOWN RD",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082348317",
"telephone_number": "609-926-4044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 FIRE RD",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082349601",
"telephone_number": "609-383-0003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWNSHIP OF EGG HARBOR",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "609-926-4044"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NJ",
"license": "EHT03106",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0041459",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "2264666000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELECTRONIC AMERIHEALTH",
"identifier": "2264666000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00147449",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "2264666000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "60004051",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE NUMBER",
"identifier": "91001253300",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Egg Harbor Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.