Organization Active NPI

City of Linden

  • Land Ambulance
  • Linden, NJ
National Provider Identifier
1952397069
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
N/A Issued in NJ
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

Updated by the provider on Feb 6, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8335206MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315000526 NJ Part B Supplier - Ambulance Service Supplier 4981593159 Practice locations: Linden, NJ

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2312284City of Linden Fire Department302 S Wood Ave, Linden, NJ 07036Certificate of waiverOct 7, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.