Clark Volunteer Emergency Squad Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CLARK VOLUNTEER EMERGENCY SQUAD INC

Practice address

875 Raritan Rd
Clark, NJ 07066-1722

Phone

(732) 381-4966

NPI assigned

Mar 28, 2018

Last updated

Apr 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ron Weslosky

Title

President

Phone

(732) 381-4966

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1912402280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170700726",
            "telephone_number": "717-724-4136",
            "fax_number": "717-635-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661722",
            "telephone_number": "732-381-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK VOLUNTEER EMERGENCY SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "WESLOSKY",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-381-4966"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clark Nursing and Rehabilitation Center LLC
• Clark Nursing and Rehabilitation Center, LLC
• Clark Pediatrics, LLC
• Clark Psychology Center (Clark Psychology)
• Clark Rehab Services LLC
• CMLC ABA, LLC
• Emily Rebecca Cohen, DPT
• Tracey Coleman, NP
• Jessica Lyn Colon, BCBA
• Comfort Nest Homes

• Land Ambulance in Clark, NJ
• Providers in Clark, 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 Apr 3, 2018; 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.