Organization Active NPI

Township of Union

  • Land Ambulance
  • Union, NJ
National Provider Identifier
1861488975
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
N/A Issued in NJ
Legal business name
TOWNSHIP OF UNION
Practice address
1976 Morris Ave
Union, NJ 07083-3597
Phone
(908) 851-5420
Fax
(732) 914-0470
NPI assigned
Sep 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Frank J Bradley
Title
Ba
Phone
(908) 851-5420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X N/A NJ Primary

Addresses

Primary practice location

1976 Morris Ave
Union, NJ 07083-3597

Mailing address

1000 Washington St
C/O DCM Inc
Toms River, NJ 08753-6855
Phone (732) 240-3030

Other identifiers 1

IdentifierTypeStateIssuer
0039055MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040813000217 NJ Part B Supplier - Ambulance Service Supplier 0143293720 Practice locations: Union, NJ

National Provider Directory

National Provider Directory

Locations

1 Bond Dr
Union, NJ 07083
Phone (908) 851-5455

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861488975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WASHINGTON ST",
            "address_2": "C/O DCM INC",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536855",
            "telephone_number": "732-240-3030",
            "fax_number": "732-914-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1976 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833597",
            "telephone_number": "908-851-5420",
            "fax_number": "732-914-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF UNION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BA",
        "authorized_official_telephone_number": "908-851-5420",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0039055",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.