Laceytownship First Aid Squad Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LACEYTOWNSHIP FIRST AID SQUAD INC

Practice address

98 Oak St
Forked River, NJ 08731-4222

Phone

(609) 693-9510

NPI assigned

Sep 19, 2018

Organization subpart

No

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

Authorized official

Name

Raymond Beneditti

Title

Captain

Phone

(717) 724-4136

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1821572504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170700726",
            "telephone_number": "717-724-4136",
            "fax_number": "717-635-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 OAK ST",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087314222",
            "telephone_number": "609-693-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACEYTOWNSHIP FIRST AID SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "BENEDITTI",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "717-724-4136"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine J. Kurnath, RNC, ANP
• Lacey Courier and Transportation Co, Inc
• Lacey Diagnostic Imaging, LLC.
• Lacey Family Medicine, L.L.C.
• Lacey Medical Group, LLC
• Raquel Lambert, MSN, APN, PMHNP-BC
• Peter Lapis, M.D.
• Amanda Leadem, OT
• Linda J. Leonard, LCSW
• Lori Leslie, L.C.S.W

• Land Ambulance in Forked River, NJ
• Providers in Forked River, 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 Sep 19, 2018; 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.