Healthcare Provider Details

I. General information

NPI: 1265656805
Provider Name (Legal Business Name): BOROUGH OF PARAMUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 01/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JOCKISH SQ
PARAMUS NJ
07652-2728
US

IV. Provider business mailing address

1 JOCKISH SQ
PARAMUS NJ
07652-2728
US

V. Phone/Fax

Practice location:
  • Phone: 201-262-3400
  • Fax: 201-634-8669
Mailing address:
  • Phone: 201-262-3400
  • Fax: 201-634-8669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0208973
Identifier TypeMEDICAID
Identifier StateNJ
Identifier Issuer

VIII. Authorized Official

Name: STEVE MEHL
Title or Position: DIRECTOR
Credential:
Phone: 201-262-3400