Active NPI
Township of Pennsville
- Land Ambulance
- Pennsville, NJ
National Provider Identifier
1831196864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- TOWNSHIP OF PENNSVILLE
- Practice address
- 91 1St St
Pennsville, NJ 08070-2259 - Phone
- (856) 678-3089
- NPI assigned
- Jul 6, 2005
- Organization subpart
- Yes
- Parent organization
- TOWNSHIP OF PENNSVILLE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather McManus
- Title
- Administrator
- Phone
- (609) 374-2533
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
91 1St St
Pennsville, NJ 08070-2259
Mailing address
409 Porter Ave
Scottdale, PA 15683-1141
Phone (724) 887-6822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8747601 | Medicaid | NJ |
Other names 1
- Pennsville Township Ambulance Dept
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040607001161 | NJ | Part B Supplier - Ambulance Service Supplier | 6204818768 | Practice locations: Pennsville, NJ |
National Provider Directory
National Provider Directory- Part of
- Township of Pennsville
Locations
91 1st St
Pennsville, NJ 08070
Phone (856) 678-3089
90 N Broadway
Pennsville, NJ 08070
Phone (856) 851-0108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719532800000",
"number": "1831196864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 PORTER AVE",
"city": "SCOTTDALE",
"state": "PA",
"postal_code": "156831141",
"telephone_number": "724-887-6822",
"fax_number": "724-887-9440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 1ST ST",
"city": "PENNSVILLE",
"state": "NJ",
"postal_code": "080702259",
"telephone_number": "856-678-3089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWNSHIP OF PENNSVILLE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TOWNSHIP OF PENNSVILLE",
"enumeration_date": "2005-07-06",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A",
"authorized_official_last_name": "MCMANUS",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "609-374-2533"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8747601",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pennsville Township Ambulance Dept",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pennsville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.