Active NPI
Township of North Bergen
- Land Ambulance
- North Bergen, NJ
National Provider Identifier
1962498063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- N/A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9080902 | 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 |
|---|---|---|---|---|
| O20050317000621 | NJ | Part B Supplier - Ambulance Service Supplier | 4183679699 | Practice locations: North Bergen, NJ |
National Provider Directory
National Provider DirectoryLocations
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.