Organization Active NPI

Town of Nutley

  • Land Ambulance
  • Nutley, NJ
National Provider Identifier
1770157802
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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 NUTLEYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210715000052 NJ Part B Supplier - Ambulance Service Supplier 2466587597 Practice locations: Nutley, 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
31D2341230Nutley Fire Department228 Chestnut Street, Nutley, NJ 07110Certificate of waiverMar 29, 2028

National Provider Directory

National Provider Directory
Tax ID family
Town of Nutley2 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.