Organization Active NPI

Tcofb Acm Ambulance

  • Ambulance
  • Fair Lawn, NJ
National Provider Identifier
1699043240
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
A0212089 Issued in NJ
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

Updated by the provider on Aug 24, 2015

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.