Organization Active NPI

Avenel and Colonia First Aid Squad Incorporated

  • Land Ambulance
  • Avenel, NJ
National Provider Identifier
1811976095
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
AVENEL AND COLONIA FIRST AID SQUAD INCORPORATED
Practice address
105 Avenel St
Avenel, NJ 07001-1710
Phone
(732) 636-4640
NPI assigned
Jan 16, 2006
Last updated
Sep 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Mr. Carmen Parisio
Title
Captain
Phone
(732) 423-7004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NJ Primary

Addresses

Primary practice location

105 Avenel St
Avenel, NJ 07001-1710

Mailing address

105 Avenel St
Avenel, NJ 07001-1710
Phone (732) 636-4640

Other identifiers 1

IdentifierTypeStateIssuer
0069213MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070519000056 NJ Part B Supplier - Ambulance Service Supplier 2961509369 Practice locations: Avenel, NJ

National Provider Directory

National Provider Directory

Locations

105 Avenel St
Avenel, NJ 07001
Phone (732) 636-4640

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1811976095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 AVENEL ST",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011710",
            "telephone_number": "732-636-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 AVENEL ST",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011710",
            "telephone_number": "732-636-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENEL AND COLONIA FIRST AID SQUAD INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "PARISIO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "732-423-7004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069213",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avenel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.