Organization Active NPI

Town of Belleville

  • Land Ambulance
  • Belleville, NJ
National Provider Identifier
1902891112
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
N/A Issued in NJ
Legal business name
TOWN OF BELLEVILLE
Practice address
152 Washington Ave
Belleville, NJ 07109-2589
Phone
(973) 450-3330
NPI assigned
Sep 14, 2005
Last updated
Mar 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Authorized official

Name
Margaret Phelps
Title
Cfo
Phone
(973) 450-3330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X N/A NJ Primary

Addresses

Primary practice location

152 Washington Ave
Belleville, NJ 07109-2589

Mailing address

PO Box 645
Matawan, NJ 07747-0645
Phone (866) 624-0900

Other identifiers 1

IdentifierTypeStateIssuer
6400507MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060504000856 NJ Part B Supplier - Ambulance Service Supplier 1254341233 Practice locations: Belleville, NJ

National Provider Directory

National Provider Directory

Locations

152 Washington Ave
Ste 1
Belleville, NJ 07109
Phone (973) 450-3389

275 Franklin Ave
Belleville, NJ 07109
Phone (973) 450-3366

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1902891112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077470645",
            "telephone_number": "866-624-0900",
            "fax_number": "732-640-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 WASHINGTON AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092589",
            "telephone_number": "973-450-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF BELLEVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "973-450-3330"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6400507",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.