Active NPI
Rahway First Aid Emergency Squad
- Land Ambulance
- Rahway, NJ
National Provider Identifier
1982603544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112577 | Other | NJ | AMERIGROUP |
| 1167513 | Other | NJ | HORIZON HEALTHCARE |
| 90020360001 | Other | NJ | CIGNA |
| A2724245 | Other | NJ | OXFORD |
| 8989702 | Medicaid | NJ | |
| 3017724 | Other | NJ | AETNA |
| 910007918 00 | Other | NJ | AMERICHOICE |
| 0X00J25601 | Other | NJ | HEALTHNET |
Other names 1
- Rahway Emergency Squad
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050316000932 | NJ | Part B Supplier - Ambulance Service Supplier | 5991750507 | Practice locations: Rahway, NJ |
National Provider Directory
National Provider DirectoryLocations
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.