Organization Active NPI

Township of Pennsville

  • Land Ambulance
  • Pennsville, NJ
National Provider Identifier
1831196864
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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 PENNSVILLEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8747601MedicaidNJ

Other names 1

  • Pennsville Township Ambulance Dept Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

Verify at the official NPI Registry.