Organization Active NPI

Township of North Bergen

  • Land Ambulance
  • North Bergen, NJ
National Provider Identifier
1962498063
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
N/A Issued in NJ
Legal business name
TOWNSHIP OF NORTH BERGEN
Practice address
4233 Kennedy Blvd
North Bergen, NJ 07047-2769
Phone
(201) 330-2629
Fax
(732) 914-0470
NPI assigned
Sep 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Mr. Robert Pittfield
Title
Business Administrator
Phone
(201) 392-2040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X N/A NJ Primary

Addresses

Primary practice location

4233 Kennedy Blvd
North Bergen, NJ 07047-2769

Mailing address

PO Box 868
Voorhees, NJ 08043

Other identifiers 1

IdentifierTypeStateIssuer
9080902MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050317000621 NJ Part B Supplier - Ambulance Service Supplier 4183679699 Practice locations: North Bergen, NJ

National Provider Directory

National Provider Directory

Locations

4233 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 330-2629

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": "1478649600000",
    "number": "1962498063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 868",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "08043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070472769",
            "telephone_number": "201-330-2629",
            "fax_number": "732-914-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF NORTH BERGEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "PITTFIELD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "201-392-2040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9080902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.