Organization Active NPI

Township of Westampton

Doing business as Westampton Township Emergency Services

  • Ambulance
  • Westampton, NJ
National Provider Identifier
1811013873
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
WEST00650 Issued in NJ
Legal business name
TOWNSHIP OF WESTAMPTON
Doing business as
Westampton Township Emergency Services
Practice address
710 Rancocas Road
Westampton, NJ 08060-5642
Phone
(609) 267-2041
Fax
(609) 267-7398
NPI assigned
Mar 21, 2007
Organization subpart
Yes
Parent organization
TOWNSHIP OF WESTAMPTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Mr. Wylie Johnson
Title
Chief
Phone
(856) 784-3715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X WEST00650 NJ Primary

Addresses

Primary practice location

710 Rancocas Road
Westampton, NJ 08060-5642

Mailing address

PO Box 467
Lumberton, NJ 08048
Phone (609) 261-1002

Other identifiers 6

IdentifierTypeStateIssuer
0099872MedicaidNJ
1118670OtherNJHORIZON NJ HEALTH
0058256000OtherNJAMERIHEALTH
0058256000OtherNJKEYSTONE
910000096800OtherNJAMERICHOICE
2234343OtherNJAETNA

Other names 1

  • Westampton Township Emergency Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050324000132 NJ Part B Supplier - Ambulance Service Supplier 2668428517 Practice locations: Westampton, NJ

National Provider Directory

National Provider Directory
Part of
Township of Westampton

Locations

710 Rancocas Rd
Westampton, NJ 08060
Phone (609) 267-2041

780 Woodlane Rd
Westampton, NJ 08060
Phone (609) 261-1002

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1811013873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 467",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "08048",
            "telephone_number": "609-261-1002",
            "fax_number": "609-261-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 RANCOCAS ROAD",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080605642",
            "telephone_number": "609-267-2041",
            "fax_number": "609-267-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF WESTAMPTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWNSHIP OF WESTAMPTON",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WYLIE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "856-784-3715",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": "WEST00650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099872",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1118670",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0058256000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0058256000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "910000096800",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2234343",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westampton Township Emergency Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westampton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.