Organization Active NPI

Hampton Lakes Emergency Squad, Inc

  • Land Ambulance
  • Southampton, NJ
National Provider Identifier
1891119632
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
100630 Issued in NJ
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

Updated by the provider on May 1, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0830011MedicaidNJ
P02610422OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140407000159 NJ Part B Supplier - Ambulance Service Supplier 2163654187 Practice locations: Southampton, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2307394Hampton Lakes Emergency Squad4 Holly Blvd, Southampton, NJ 08088Certificate of waiverJul 7, 2026

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.