Lanoka Harbor First Aid Squad Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LANOKA HARBOR FIRST AID SQUAD INC

Practice address

305 Manchester Ave
Lanoka Harbor, NJ 08734-1737

Phone

(717) 724-4136

NPI assigned

Feb 8, 2017

Organization subpart

No

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

Authorized official

Name

Robert Resetar

Title

Chief

Phone

(609) 693-2340

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": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1679011811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269",
            "city": "LANOKA HARBOR",
            "state": "NJ",
            "postal_code": "087340269",
            "telephone_number": "609-693-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MANCHESTER AVE",
            "city": "LANOKA HARBOR",
            "state": "NJ",
            "postal_code": "087341737",
            "telephone_number": "717-724-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANOKA HARBOR FIRST AID SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "RESETAR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "609-693-2340"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Lanoka Harbor, NJ
• Providers in Lanoka Harbor, 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 May 22, 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.