Healthcare Provider Details

I. General information

NPI: 1992629166
Provider Name (Legal Business Name): FIRST RESPONDER MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 54
TEANECK NJ
07666-0054
US

IV. Provider business mailing address

16 HOLMES CT
MORRISTOWN NJ
07960-2776
US

V. Phone/Fax

Practice location:
  • Phone: 201-801-9159
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM A GLUCKMAN
Title or Position: MEMBER
Credential: DO
Phone: 201-572-4260