Organization Active NPI

The Phillipsburg Emergency Squad, Inc.

  • Land Ambulance
  • Phillipsburg, NJ
National Provider Identifier
1750560975
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
THE PHILLIPSBURG EMERGENCY SQUAD, INC.
Practice address
360 Prospect St
Phillipsburg, NJ 08865-3225
Phone
(908) 859-5218
NPI assigned
Oct 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Mr. Carl Johns
Title
President
Phone
(908) 859-5218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

360 Prospect St
Phillipsburg, NJ 08865-3225

Mailing address

PO Box 207
Allentown, PA 18105-0207
Phone (484) 664-2007

Other names 1

  • Phillipsburg Emergency Squad Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100920001127 NJ Part B Supplier - Ambulance Service Supplier 8527183029 Practice locations: Alpha, NJ; Phillipsburg, NJ

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2315471Phillipsburg Emergency Squad, Inc360 Prospect St, Phillipsburg, NJ 08865Certificate of waiverDec 11, 2026

National Provider Directory

National Provider Directory

Locations

924 1st Ave
Alpha, NJ 08865
Phone (908) 859-8218

360 Prospect St
Phillipsburg, NJ 08865
Phone (908) 859-5218

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1750560975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181050207",
            "telephone_number": "484-664-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 PROSPECT ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088653225",
            "telephone_number": "908-859-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHILLIPSBURG EMERGENCY SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-859-5218",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillipsburg Emergency Squad",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.