1598923781 NPI number — NORTH BRUNSWICK FIRST AID AND RESCUE SQUAD, INC.

Table of content: (NPI 1598923781)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598923781 NPI number — NORTH BRUNSWICK FIRST AID AND RESCUE SQUAD, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH BRUNSWICK FIRST AID AND RESCUE SQUAD, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598923781
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/19/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7043
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH BRUNSWICK
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08902-7043
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-545-1024
Provider Business Mailing Address Fax Number:
732-296-0097

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
880 RIDGEWOOD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH BRUNSWICK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08902-2281
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-545-1024
Provider Business Practice Location Address Fax Number:
732-296-0097
Provider Enumeration Date:
05/25/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ARICO
Authorized Official First Name:
NICK
Authorized Official Middle Name:
Authorized Official Title or Position:
TRUSTEE
Authorized Official Telephone Number:
732-545-1024

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)