Organization Active NPI

Rahway First Aid Emergency Squad

  • Land Ambulance
  • Rahway, NJ
National Provider Identifier
1982603544
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
RAHWAY FIRST AID EMERGENCY SQUAD
Practice address
905 Stone St
Rahway, NJ 07065-2742
Phone
(732) 815-0464
Fax
(732) 956-2101
NPI assigned
Jul 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
Ms. Tory Januik
Title
Treasurer
Phone
(732) 815-0464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

905 Stone St
Rahway, NJ 07065-2742

Mailing address

PO Box 207
Allentown, PA 18105-0207
Phone (484) 664-2007

Other identifiers 8

IdentifierTypeStateIssuer
112577OtherNJAMERIGROUP
1167513OtherNJHORIZON HEALTHCARE
90020360001OtherNJCIGNA
A2724245OtherNJOXFORD
8989702MedicaidNJ
3017724OtherNJAETNA
910007918 00OtherNJAMERICHOICE
0X00J25601OtherNJHEALTHNET

Other names 1

  • Rahway Emergency Squad Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050316000932 NJ Part B Supplier - Ambulance Service Supplier 5991750507 Practice locations: Rahway, NJ

National Provider Directory

National Provider Directory

Locations

905 Stone St
Rahway, NJ 07065
Phone (732) 388-2700

905 Stone St
Rahway, NJ 07065
Phone (732) 388-2700

NPI Registry JSON

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

{
    "created_epoch": "1121558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1982603544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181050207",
            "telephone_number": "484-664-2007",
            "fax_number": "484-664-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 STONE ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652742",
            "telephone_number": "732-815-0464",
            "fax_number": "732-956-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHWAY FIRST AID EMERGENCY SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-17",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "JANUIK",
        "authorized_official_first_name": "TORY",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "732-815-0464",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "112577",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON HEALTHCARE",
            "identifier": "1167513",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "90020360001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A2724245",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8989702",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3017724",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "910007918 00",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0X00J25601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rahway Emergency Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rahway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.