City of Perth Amboy

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

N/A Issued in NJ

Legal business name

CITY OF PERTH AMBOY

Practice address

260 High St
Perth Amboy, NJ 08861-4451

Phone

(732) 826-0290

Fax

(732) 914-0470

NPI assigned

Sep 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Donald Perlee

Title

Ba

Phone

(732) 826-0290

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1689660797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WASHINGTON ST",
            "address_2": "C/O DCM INC",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536855",
            "telephone_number": "732-240-3030",
            "fax_number": "732-914-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 HIGH ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614451",
            "telephone_number": "732-826-0290",
            "fax_number": "732-914-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PERTH AMBOY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "PERLEE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "BA",
        "authorized_official_telephone_number": "732-826-0290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00347146",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071013",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dane E Clarke, MD

• Land Ambulance in Perth Amboy, NJ
• Providers in Perth Amboy, 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 Nov 1, 2007; 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.