Healthcare Provider Details

I. General information

NPI: 1003644527
Provider Name (Legal Business Name): REGIONAL AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2024
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 FRANKLIN ST STE 204
BLOOMFIELD NJ
07003-3404
US

IV. Provider business mailing address

PO BOX 8023
GLEN RIDGE NJ
07028-8023
US

V. Phone/Fax

Practice location:
  • Phone: 732-867-7242
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: FARLEY CHARLES
Title or Position: CEO
Credential: RRT
Phone: 973-780-0821