Organization Active NPI

Middletown Emergency Medical Services Inc

  • Ambulance
  • Middletown, NJ
National Provider Identifier
1780138826
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1311039 Issued in NJ
Legal business name
MIDDLETOWN EMERGENCY MEDICAL SERVICES INC
Practice address
1 Penelope LN
Middletown, NJ 07748-2504
Phone
(732) 856-7045
NPI assigned
Aug 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Authorized official

Name
Mr. Floyd Goldstein
Title
Secretary
Phone
(732) 856-7045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1311039 NJ Primary

Addresses

Primary practice location

1 Penelope LN
Middletown, NJ 07748-2504

Mailing address

PO Box 311
Middletown, NJ 07748-0311
Phone (732) 856-7045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161121001684 NJ Part B Supplier - Ambulance Service Supplier 0547549222 Practice locations: Middletown, 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
31D2307632Middletown Emergency Medical Services, Inc1 Penelope Lane, Middletown, NJ 07748Certificate of waiverJul 10, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1780138826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077480311",
            "telephone_number": "732-856-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PENELOPE LN",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482504",
            "telephone_number": "732-856-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN EMERGENCY MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "732-856-7045",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "1311039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.