Borough of Wildwood Crest

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3416L0300X Issued in 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

Last updated

Aug 22, 2020By 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

Kevin Yecco

Title

Borough Clerk

Phone

(609) 522-5176

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922013366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 PACIFIC AVE",
            "city": "WILDWOOD CREST",
            "state": "NJ",
            "postal_code": "082604113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 PACIFIC AVE",
            "city": "WILDWOOD CREST",
            "state": "NJ",
            "postal_code": "082604113",
            "telephone_number": "609-522-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOROUGH OF WILDWOOD CREST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YECCO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "BOROUGH CLERK",
        "authorized_official_telephone_number": "609-522-5176"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "3416L0300X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Warren Burdette, DDS
• Diamond Beach Dental
• Heather L Gamble, LMT
• Kenneth E Cramer MD LLC
• Michael S. Kocinski, D.O.

• Land Ambulance in Wildwood Crest, NJ
• Providers in Wildwood Crest, 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 Aug 22, 2020; 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.