Waterford Township EMS Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

WATERF015 Issued in NJ

Legal business name

WATERFORD TOWNSHIP EMS INC

Practice address

192 A Ave
Atco, NJ 08004-2434

Phone

(856) 306-6525

Fax

(856) 767-3660

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William Gardner

Title

Chief

Phone

(856) 767-2236

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1801003421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 A AVE",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080042434",
            "telephone_number": "856-767-2236",
            "fax_number": "856-767-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 A AVE",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080042434",
            "telephone_number": "856-306-6525",
            "fax_number": "856-767-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFORD TOWNSHIP EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "856-767-2236",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "WATERF015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059455",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "91000662100",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2074256000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "36117",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON MERCY",
            "identifier": "1160203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Atco, NJ
• Providers in Atco, NJ by specialty
• Land Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.