Jackson Township First Aid Squad Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1511019 Issued in NJ

Legal business name

JACKSON TOWNSHIP FIRST AID SQUAD INC

Practice address

38 E Veterans Hwy
Jackson, NJ 08527-4519

Phone

(732) 928-0278

Fax

(732) 928-3460

NPI assigned

Jul 23, 2015

Organization subpart

No

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

Authorized official

Name

Alfred Couceiro

Title

Chief

Phone

(732) 928-0278

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1730564436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085270516",
            "telephone_number": "732-928-0278",
            "fax_number": "732-928-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 E VETERANS HWY",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274519",
            "telephone_number": "732-928-0278",
            "fax_number": "732-928-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON TOWNSHIP FIRST AID SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "COUCEIRO",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "732-928-0278"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "1511019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Joint Ventures Limited Liability
• Jackson Orthodontics LLC
• Jackson Pediatric Dentistry PC
• Jackson Pharmacy Inc
• Jackson Surgical Center LLC
• Jackson Village Imaging, LLC
• Jackson Village Pharmacy LLC
• Jackson Village Pharmacy LLC
• Jackson Village Pharmacy LLC
• Jackson Village Pharmacy LLC

• Land Ambulance in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Land Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.