Active NPI
Avenel and Colonia First Aid Squad Incorporated
- Land Ambulance
- Avenel, NJ
National Provider Identifier
1811976095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0069213 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070519000056 | NJ | Part B Supplier - Ambulance Service Supplier | 2961509369 | Practice locations: Avenel, NJ |
National Provider Directory
National Provider DirectoryLocations
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.