Active NPI
Township of Brick
- Land Ambulance
- Brick, NJ
National Provider Identifier
1720090491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- B1511049
- Legal business name
- TOWNSHIP OF BRICK
- Practice address
- 401 Chambersbridge Rd
Brick, NJ 08723-2807 - Phone
- (732) 262-2135
- Fax
- (732) 262-1125
- NPI assigned
- Aug 12, 2006
- 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
- Mr. Michael Botts
- Title
- Chief
- Phone
- (732) 451-2038
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | B1511049 | NJ | Primary |
Addresses
Primary practice location
401 Chambersbridge Rd
Brick, NJ 08723-2807
Mailing address
401 Chambersbridge Rd
Brick, NJ 08723-2807
Phone (732) 262-2135
Other names 1
- Brick Township EMS & Rescue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061027000337 | NJ | Part B Supplier - Ambulance Service Supplier | 0042217473 | Practice locations: Brick, NJ |
National Provider Directory
National Provider DirectoryLocations
401 Chambers Bridge Rd
Brick, NJ 08723
Phone (732) 262-2135
1810 Lanes Mill Rd
Brick, NJ 08724
Phone 73226210001371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704844800000",
"number": "1720090491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 CHAMBERSBRIDGE RD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087232807",
"telephone_number": "732-262-2135",
"fax_number": "732-262-1125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 CHAMBERSBRIDGE RD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087232807",
"telephone_number": "732-262-2135",
"fax_number": "732-262-1125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWNSHIP OF BRICK",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-12",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A",
"authorized_official_last_name": "BOTTS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "732-451-2038",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NJ",
"license": "B1511049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brick Township EMS & Rescue",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.