Healthcare Provider Details

I. General information

NPI: 1053307157
Provider Name (Legal Business Name): TOWNSHIP OF LAKEWOOD OCEAN COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 02/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 3RD ST
LAKEWOOD NJ
08701-3220
US

IV. Provider business mailing address

1555 PINE ST
LAKEWOOD NJ
08701-4904
US

V. Phone/Fax

Practice location:
  • Phone: 732-364-2500
  • Fax: 732-914-0470
Mailing address:
  • Phone: 732-901-8487
  • Fax: 732-901-6421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateNJ

VIII. Authorized Official

Name: CRYSTAL VAN DE ZILVER
Title or Position: EMS CHIEF
Credential:
Phone: 732-901-8487