Active NPI
Middletown Emergency Medical Services Inc
- Ambulance
- Middletown, NJ
National Provider Identifier
1780138826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1311039
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161121001684 | NJ | Part B Supplier - Ambulance Service Supplier | 0547549222 | Practice locations: Middletown, 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 |
|---|---|---|---|
| 31D2307632 | Middletown Emergency Medical Services, Inc | Certificate of waiver | Jul 10, 2026 |
National Provider Directory
National Provider DirectoryNPI 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.