Organization Active NPI

First Aid & Rescue Squad, Inc of Somerville, NJ

  • Land Ambulance
  • Somerville, NJ
National Provider Identifier
1780162487
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1811027 Issued in NJ
Legal business name
FIRST AID & RESCUE SQUAD, INC OF SOMERVILLE, NJ
Practice address
21 Park Ave
Somerville, NJ 08876-2301
Phone
(904) 526-4545
NPI assigned
Aug 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Authorized official

Name
Mr. Frederick Anthony Picchiello
Title
President
Phone
(908) 458-3151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1811027 NJ Primary

Addresses

Primary practice location

21 Park Ave
Somerville, NJ 08876-2301

Mailing address

21 Park Ave
Somerville, NJ 08876-2301

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180924002230 NJ Part B Supplier - Ambulance Service Supplier 9739430190 Practice locations: Somerville, NJ

National Provider Directory

National Provider Directory

Locations

21 Park Ave
Somerville, NJ 08876
Phone (904) 526-4545

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1780162487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PARK AVE",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PARK AVE",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762301",
            "telephone_number": "904-526-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST AID & RESCUE SQUAD, INC OF SOMERVILLE, NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "PICCHIELLO",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-458-3151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "1811027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.