Mountainside Rescue Squad Borough of Mountainside, N.J.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

2011017 Issued in NJ

Legal business name

MOUNTAINSIDE RESCUE SQUAD BOROUGH OF MOUNTAINSIDE, N.J.

Doing business as

Mountainside Rescue Squad

Practice address

1399 Route 22
Mountainside, NJ 07092-2401

Phone

(908) 233-6338

Fax

(908) 233-6573

NPI assigned

Sep 18, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Eric D Pastore, EMT

Title

Captain

Phone

(908) 233-6338

Specialties & licenses 1

Addresses

Other names 1

• Mountainside Rescue Squad Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1730558719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 ROUTE 22",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922401",
            "telephone_number": "908-233-6338",
            "fax_number": "908-233-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 ROUTE 22",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922401",
            "telephone_number": "908-233-6338",
            "fax_number": "908-233-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINSIDE RESCUE SQUAD BOROUGH OF MOUNTAINSIDE, N.J.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "PASTORE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "908-233-6338",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "2011017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountainside Rescue Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mountainside Crossing Family Dental
• Mountainside Dental Group (Mountainside Family Dental)
• Mountainside Neuropsychology, LLC
• Mountainside Nursing and Rehab BHC Operations
• Mountainside Physical Therapy LLC
• Mountainside Smiles
• Mountainside Wellness, LLC
• Jennifer C Muhs, OTR
• Stephanie Munoz
• Stephanie A. Murasso, MS,CCC/SLP

• Ambulance in Mountainside, NJ
• Providers in Mountainside, NJ by specialty
• Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.