Organization Active NPI

Maple Shade First Aid Squad Inc

  • Land Ambulance
  • Maple Shade, NJ
National Provider Identifier
1902035157
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MAPLE SHADE FIRST AID SQUAD INC
Practice address
44 S Maple Ave
Maple Shade, NJ 08052-2724
Phone
(609) 743-2007
NPI assigned
Jul 9, 2009
Last updated
Jul 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Authorized official

Name
Joseph Freed
Title
Chief
Phone
(609) 743-2007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

44 S Maple Ave
Maple Shade, NJ 08052-2724

Mailing address

PO Box 207
Allentown, PA 18105-0207
Phone (484) 664-2007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090804000629 NJ Part B Supplier - Ambulance Service Supplier 1153474440 Practice locations: Maple Shade, 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
31D2307558Maple Shade First Aid Squad44 S Maple Ave, Maple Shade, NJ 08052Certificate of waiverJul 9, 2028

National Provider Directory

National Provider Directory

Locations

44 S Maple Ave
Maple Shade, NJ 08052
Phone (609) 743-2007

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1902035157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181050207",
            "telephone_number": "484-664-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 S MAPLE AVE",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080522724",
            "telephone_number": "609-743-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE SHADE FIRST AID SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "FREED",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "609-743-2007"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Shade, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.