Active NPI
Town of Nutley
- Land Ambulance
- Nutley, NJ
National Provider Identifier
1770157802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- TOWN OF NUTLEY
- Practice address
- 228 Chestnut St
Nutley, NJ 07110-2300 - Phone
- (973) 284-4936
- Fax
- (973) 284-4906
- NPI assigned
- May 13, 2021
- Organization subpart
- Yes
- Parent organization
- TOWN OF NUTLEY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emil N Pugliese
- Title
- EMS Coordinator
- Phone
- (973) 250-4993
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
228 Chestnut St
Nutley, NJ 07110-2300
Mailing address
228 Chestnut St
Nutley, NJ 07110-2300
Phone (973) 286-4936
Other names 1
- Nutley Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210715000052 | NJ | Part B Supplier - Ambulance Service Supplier | 2466587597 | Practice locations: Nutley, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2341230 | Nutley Fire Department | Certificate of waiver | Mar 29, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Town of Nutley
- Part of
- Town of Nutley
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Nutley, NJ
- NPI 1518105766
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
228 Chestnut St
Nutley, NJ 07110
Phone (973) 284-4935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625788800000",
"number": "1770157802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 CHESTNUT ST",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071102300",
"telephone_number": "973-286-4936",
"fax_number": "973-284-4906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 CHESTNUT ST",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071102300",
"telephone_number": "973-284-4936",
"fax_number": "973-284-4906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF NUTLEY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TOWN OF NUTLEY",
"enumeration_date": "2021-05-13",
"last_updated": "2021-07-09",
"certification_date": "2021-06-03",
"status": "A",
"authorized_official_last_name": "PUGLIESE",
"authorized_official_first_name": "EMIL",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "EMS COORDINATOR",
"authorized_official_telephone_number": "973-250-4993"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nutley Fire Department",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Nutley Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nutley, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.