Organization Active NPI

Township of Brick

  • Land Ambulance
  • Brick, NJ
National Provider Identifier
1720090491
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
B1511049 Issued in NJ
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

Updated by the provider on Jan 10, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061027000337 NJ Part B Supplier - Ambulance Service Supplier 0042217473 Practice locations: Brick, NJ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.