Active NPI
City of Linden
- Land Ambulance
- Linden, NJ
National Provider Identifier
1952397069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- N/A
- Legal business name
- CITY OF LINDEN
- Practice address
- 302 S Wood Ave
Linden, NJ 07036-3228 - Phone
- (908) 474-4550
- NPI assigned
- Sep 23, 2005
- 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
- Mrs. Alexis Zack
- Title
- Treasurer
- Phone
- (908) 474-8479
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | N/A | NJ | Primary |
Addresses
Primary practice location
302 S Wood Ave
Linden, NJ 07036-3228
Mailing address
PO Box 949
Matawan, NJ 07747-0949
Phone (866) 624-0900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8335206 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040315000526 | NJ | Part B Supplier - Ambulance Service Supplier | 4981593159 | Practice locations: Linden, 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 |
|---|---|---|---|
| 31D2312284 | City of Linden Fire Department | Certificate of waiver | Oct 7, 2026 |
National Provider Directory
National Provider DirectoryLocations
302 S Wood Ave
Linden, NJ 07036
Phone (908) 298-3808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675641600000",
"number": "1952397069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 949",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077470949",
"telephone_number": "866-624-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 S WOOD AVE",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070363228",
"telephone_number": "908-474-4550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF LINDEN",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-23",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A",
"authorized_official_last_name": "ZACK",
"authorized_official_first_name": "ALEXIS",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "908-474-8479",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NJ",
"license": "N/A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8335206",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Linden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.