Organization Active NPI

Sambulance Safety Squad

  • Developmentally Disabled Services Day Training Agency
  • West Berlin, NJ
National Provider Identifier
1750800793
Registry record updated Sep 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SAMBULANCE SAFETY SQUAD
Practice address
100 Pinedge Dr
West Berlin, NJ 08091-9262
Phone
(856) 322-6182
NPI assigned
Sep 11, 2017
Last updated
Sep 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2017

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

Authorized official

Name
Annie Peters
Title
Executive Director
Phone
(856) 322-6182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

100 Pinedge Dr
West Berlin, NJ 08091-9262

Mailing address

100 Pinedge Dr
West Berlin, NJ 08091-9262

National Provider Directory

National Provider Directory

Locations

100 Pinedge Dr
West Berlin, NJ 08091
Phone (856) 322-6182

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505088000000",
    "number": "1750800793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PINEDGE DR",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080919262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PINEDGE DR",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080919262",
            "telephone_number": "856-322-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMBULANCE SAFETY SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-09-11",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-322-6182"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Berlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.