South Essex Fire Department

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SOUTH ESSEX FIRE DEPARTMENT

Practice address

105 Dunnell Rd
Maplewood, NJ 07040-2622

Phone

(973) 762-6500

NPI assigned

Jun 29, 2022

Organization subpart

No

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

Authorized official

Name

Adam Loehner

Title

Ceo

Phone

(973) 762-6500

Specialties & licenses 1

Addresses

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": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1811629637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671",
            "city": "PITTSTOWN",
            "state": "NJ",
            "postal_code": "088670671",
            "telephone_number": "908-479-4921",
            "fax_number": "908-479-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DUNNELL RD",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402622",
            "telephone_number": "973-762-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ESSEX FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "LOEHNER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-762-6500"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Lee Smith-McCombs
• Amy Sharee Smith
• Donna Smith, MD
• Richard J. Solomon, M.D.
• Soma Psychotherapy LLC
• South Mountain Speech and Feeding LLC
• South Orange Maplewood Board of Education
• Jasmine Sowah
• Soya Physical Therapy LLC
• Michael J Soya, PT, DPT

• Land Ambulance in Maplewood, NJ
• Providers in Maplewood, 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 May 11, 2023; 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.