Active NPI
Hampton Lakes Emergency Squad, Inc
- Land Ambulance
- Southampton, NJ
National Provider Identifier
1891119632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 100630
- Legal business name
- HAMPTON LAKES EMERGENCY SQUAD, INC
- Practice address
- 4 Holly Blvd
Southampton, NJ 08088 - Phone
- (888) 240-1780
- Fax
- (724) 615-1448
- NPI assigned
- Feb 14, 2014
- 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
- Thomas A Heller
- Title
- President
- Phone
- (888) 240-1780
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 100630 | NJ | Primary |
Addresses
Primary practice location
4 Holly Blvd
Southampton, NJ 08088
Mailing address
PO Box 18533
Pittsburgh, PA 15236-0533
Phone (800) 240-6365
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0830011 | Medicaid | NJ | |
| P02610422 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140407000159 | NJ | Part B Supplier - Ambulance Service Supplier | 2163654187 | Practice locations: Southampton, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2307394 | Hampton Lakes Emergency Squad | Certificate of waiver | Jul 7, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777593600000",
"number": "1891119632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18533",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152360533",
"telephone_number": "800-240-6365",
"fax_number": "724-615-1448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 HOLLY BLVD",
"city": "SOUTHAMPTON",
"state": "NJ",
"postal_code": "08088",
"telephone_number": "888-240-1780",
"fax_number": "724-615-1448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAMPTON LAKES EMERGENCY SQUAD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-14",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A",
"authorized_official_last_name": "HELLER",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "888-240-1780"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NJ",
"license": "100630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0830011",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P02610422",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southampton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.