1144801036 NPI number — BOROUGH OF BELMAR

Table of content: (NPI 1144801036)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144801036 NPI number — BOROUGH OF BELMAR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BOROUGH OF BELMAR
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:
6
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:
1144801036
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/21/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
601 MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BELMAR
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07719-2701
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-681-3700
Provider Business Mailing Address Fax Number:
732-681-3434

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
601 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BELMAR
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07719-2701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-681-3700
Provider Business Practice Location Address Fax Number:
732-681-3434
Provider Enumeration Date:
04/21/2021

Additional Information

Authorized Official

Authorized Official Last Name:
SCOTT
Authorized Official First Name:
TINA
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF OF POLICE
Authorized Official Telephone Number:
732-681-1700

Provider Taxonomy Codes

  • Taxonomy code: 146N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1311091 . This is a "NJ DEPARTMENT OF HEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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