Montclair Ambulance Unit

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

M0711014 Issued in NJ

Legal business name

MONTCLAIR AMBULANCE UNIT

Practice address

95 Walnut St
Montclair, NJ 07042-4038

Phone

(973) 783-7624

NPI assigned

Mar 24, 2010

Organization subpart

No

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

Authorized official

Name

Jonathan Hirsh

Title

President

Phone

(973) 783-7624

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1962726638",
    "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": "080430868",
            "telephone_number": "856-784-8004",
            "fax_number": "856-768-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WALNUT ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424038",
            "telephone_number": "973-783-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR AMBULANCE UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "HIRSH",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-783-7624"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "M0711014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Mizraji, DC
• Janel Modoski
• Frank Molignano, CCH, RSHOM(NA)
• Anne Mathias Monsees
• Montclair Adult Care
• Montclair Anesthesia Associates, P.C.
• Montclair Anesthesia Group
• Montclair Anesthesia Group
• Montclair Art Museum
• Montclair Behavioral Health & Wellness

• Land Ambulance in Montclair, NJ
• Providers in Montclair, 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 Mar 24, 2010; 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.