Township of Medford

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1FDXE45P14HB38887 Issued in NJ

Legal business name

TOWNSHIP OF MEDFORD

Doing business as

Medford EMS

Practice address

1 Firehouse LN
Medford, NJ 08055-2726

Phone

(856) 654-2608

Fax

(856) 953-4087

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Kathy Burger

Title

Cfo

Phone

(856) 654-2608

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Medford EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1891823068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 N MAIN ST",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552411",
            "telephone_number": "856-654-2608",
            "fax_number": "856-953-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FIREHOUSE LN",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552726",
            "telephone_number": "856-654-2608",
            "fax_number": "856-953-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF MEDFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "BURGER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "856-654-2608"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "1FDXE45P14HB38887",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "1FDKE30F1VHA30421",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "1FDXE45F6YHB73115",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7295308",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medford EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor E Timmons, PT, DPT
• Devan Timothy
• Carl Lewis Tinkelman, DMD
• Kimberly Tischner, DO
• Joseph A Toia, DMD
• Jodi Trees, RN, APN-C
• Trinity Advanced Healthcare Services
• Tuckerton Operating, LLC
• Harry E Turse, MD
• Florence D Tursi, D.P.M.

• Land Ambulance in Medford, NJ
• Providers in Medford, NJ by specialty
• Land Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.