Berlin Inter Community Ambulance Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BERLIN INTER COMMUNITY AMBULANCE ASSOCIATION

Practice address

Park Ave and White Horse Pike
Berlin, NJ 08009

Phone

(732) 748-4329

Fax

(732) 873-0293

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Cyndi Oberle

Title

President

Phone

(856) 753-0808

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1750487146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080090406",
            "telephone_number": "732-748-7329",
            "fax_number": "732-873-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PARK AVE AND WHITE HORSE PIKE",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "08009",
            "telephone_number": "732-748-4329",
            "fax_number": "732-873-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERLIN INTER COMMUNITY AMBULANCE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "OBERLE",
        "authorized_official_first_name": "CYNDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-753-0808",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012173",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berlin Borough School District
• Berlin Dental Arts, LLC
• Berlin Dental Associates
• Berlin Dialysis Center
• Berlin Family Practice Associates
• Berlin Medical Assco
• Berlin Medical Associates
• Berlin Medical Associates, P.a.
• Berlin Operator LLC
• Berlin Pharmacy LLC

• All providers in Berlin, NJ
• Land Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.