City of Vineland
Organization Active NPI Ambulance · Vineland, NJ
NPI 1760439772 · NPPES record last updated Feb 13, 2023
Key facts
- NPI
- 1760439772
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- VINE00614 (NJ)
- Legal business name
- CITY OF VINELAND
- Practice address
- 640 E Wood St
Vineland, NJ 08360-3722 - Phone
- (856) 794-4000
- Fax
- (856) 794-1159
- NPI assigned
- May 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Anthony Romeo Fanucci
- Title
- Mayor
- Phone
- (856) 794-4000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050927000387 | NJ | Part B Supplier - Ambulance Service Supplier | 3971401522 | Practice locations: Vineland, NJ |
National Provider Directory
Locations
1045 E Butler Ave
Vineland, NJ 08361
Phone (856) 794-4261
640 E Wood St
Fl 3
Vineland, NJ 08360
Phone (609) 896-2422
1640 S Lincoln Ave
Vineland, NJ 08361
Phone (267) 994-0805
876 E Sherman Ave
Vineland, NJ 08361
Phone (856) 794-6185
640 E Wood St
Vineland, NJ 08360
Phone (856) 784-8004
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | VINE00614 | NJ | Yes |
Addresses
Primary practice location
640 E Wood St
Vineland, NJ 08360-3722
Mailing address
640 E Wood St PO Box 1508
Vineland, NJ 08362-1508
Phone (856) 794-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144056 | Other | NJ | LIBERTY MUTUAL |
| 0455452000 | Other | NJ | AMERIHEALTH |
| 0002215823 | Other | NJ | HIGHMARK BLUE SHIELD |
| 0455452006 | Other | NJ | KEYSTONE |
| 1038041 | Other | NJ | HORIZON NJ HEALTH |
| 0027752 | Other | NJ | AETNA HEALTH |
| 590007186 | Other | NJ | RAILROAD MEDICARE |
| 2505606 | Medicaid | NJ | |
| 86310 | Other | NJ | AMERIGROUP-NJ |
| 90000338200 | Other | NJ | AMERICHOICE |
| OX00NL3125 | Other | NJ | HEALTHNET |
Other names
- City of Vineland Emergency Medical Services
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.