Active NPI
Maple Shade First Aid Squad Inc
- Land Ambulance
- Maple Shade, NJ
National Provider Identifier
1902035157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2009
- 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
- Joseph Freed
- Title
- Chief
- Phone
- (609) 743-2007
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090804000629 | NJ | Part B Supplier - Ambulance Service Supplier | 1153474440 | Practice locations: Maple Shade, 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 |
|---|---|---|---|
| 31D2307558 | Maple Shade First Aid Squad | Certificate of waiver | Jul 9, 2028 |
National Provider Directory
National Provider DirectoryLocations
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
- Main Chiropractic Center, LLC
- Maple Operations LLC
- Maple Shade Apothecary Inc
- Maple Shade Apothecary Inc
- Maple Shade Board of Education
- Maple Shade Foot and Ankle Specialists, LLC
- Maple Shade Healthcare LLC (Maple Shade Wellness and Recovery)
- Charles Micheal McCabe, D.C.
- Kathryn McIntosh
- Merakey New Jersey
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.