Borough of Wildwood Crest
Organization Active NPI Land Ambulance · Wildwood Crest, NJ
NPI 1922013366 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1922013366
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 3416L0300X (NJ)
- Legal business name
- BOROUGH OF WILDWOOD CREST
- Practice address
- 6101 Pacific Ave
Wildwood Crest, NJ 08260-4113 - Phone
- (609) 522-5176
- NPI assigned
- Jul 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Kevin Yecco
- Title
- Borough Clerk
- Phone
- (609) 522-5176
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050317000079 | NJ | Part B Supplier - Ambulance Service Supplier | 9931154473 | Practice locations: Wildwood CRST, NJ |
National Provider Directory
Locations
6101 Pacific Ave
Wildwood Crst, NJ 08260
Phone (609) 522-5176
9300 Pacific Ave
Wildwood Crst, NJ 08260
Phone (609) 522-0844
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 3416L0300X | NJ | Yes |
Addresses
Primary practice location
6101 Pacific Ave
Wildwood Crest, NJ 08260-4113
Mailing address
6101 Pacific Ave
Wildwood Crest, NJ 08260-4113
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91000989200 | Other | AMERICHOICE OF NJ | |
| 30020586 | Other | KEYSTONE MERCY HEALTH PLA | |
| 3181877 | Other | AETNA HMO | |
| 9110909 | Medicaid | NJ | |
| 2159308000 | Other | AMERIHEALTH HMO NJ DE | |
| P00007707 | Other | RAILROAD MEDICARE | |
| 1172598 | Other | HORIZON NJ HEALTH | |
| A28787660 | Other | OXFORD HEALTH PLANS |
Other providers in Wildwood Crest, NJ
- David Warren Burdette
- Diamond Beach Dental
- Heather L Gamble
- Kenneth E Cramer MD LLC
- Michael S. Kocinski
All providers in Wildwood Crest, NJ · Land Ambulance in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.