Healthcare Provider Details
I. General information
NPI: 1336063106
Provider Name (Legal Business Name): GREAT BAY EMS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 OAK LN
LITTLE EGG HARBOR TWP NJ
08087-2014
US
IV. Provider business mailing address
PO BOX 437
LITTLE EGG HARBOR NJ
08087-0437
US
V. Phone/Fax
- Phone: 609-812-1500
- Fax:
- Phone: 609-812-1500
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 341600000X |
| Taxonomy | Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSEPH
M
BIRD
IV
Title or Position: PRESIDENT
Credential:
Phone: 609-713-2993