Active NPI
Tcofb Acm Ambulance
- Ambulance
- Fair Lawn, NJ
National Provider Identifier
1699043240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- A0212089
- Legal business name
- TCOFB ACM AMBULANCE
- Practice address
- 431 Wagaraw Rd
Fair Lawn, NJ 07410-1344 - Phone
- (973) 794-6206
- Fax
- (973) 949-3053
- NPI assigned
- Dec 11, 2011
- 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
- Tim Banks
- Title
- President
- Phone
- (973) 794-6206
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | A0212089 | NJ | Primary |
Addresses
Primary practice location
431 Wagaraw Rd
Fair Lawn, NJ 07410-1344
Mailing address
PO Box 4261
Wayne, NJ 07474-4261
Phone (973) 794-6206
National Provider Directory
National Provider DirectoryLocations
431 Wagaraw Rd
Fair Lawn, NJ 07410
Phone (973) 794-6206
494 Riverview Dr
Ste 2
Totowa, NJ 07512
Phone (973) 794-6206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440374400000",
"number": "1699043240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4261",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074744261",
"telephone_number": "973-794-6206",
"fax_number": "973-949-3053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 WAGARAW RD",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074101344",
"telephone_number": "973-794-6206",
"fax_number": "973-949-3053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TCOFB ACM AMBULANCE",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-11",
"last_updated": "2015-08-24",
"status": "A",
"authorized_official_last_name": "BANKS",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-794-6206"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NJ",
"license": "A0212089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.