NPI Code Detail JSON Logo

1578829628 NPI number — WANAMASSA FIRST AID SQUAD

NPI Number: 1578829628
Health Care Provider/Practitioner: WANAMASSA FIRST AID SQUAD

Information about “1578829628” NPI (WANAMASSA FIRST AID SQUAD) exists in 1578829628 in HTML format HTML  |  1578829628 in plain Text format TXT  |  1578829628 in PDF (Portable Document Format) PDF  |  1578829628 in an XML format XML  formats.

NPI Number : 1578829628 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578829628",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WANAMASSA FIRST AID SQUAD",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1401 WICKAPECKO DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OCEAN",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07712-4201",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-455-0748",
    "MailingAddressFaxNumber": "732-988-3089",
    "FirstLinePracticeLocationAddress": "1401 WICKAPECKO DRIVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OCEAN",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07712-4201",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-915-4304",
    "PracticeLocationAddressFaxNumber": "732-988-3089",
    "EnumerationDate": "04/03/2012",
    "LastUpdateDate": "02/16/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GIFFORD",
    "AuthorizedOfficialFirstName": "EARL",
    "AuthorizedOfficialMiddleName": "H",
    "AuthorizedOfficialTitle": "TRUSTEE",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "732-433-0901",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3416L0300X",
        "TaxonomyName": "Land Ambulance",
        "LicenseNumber": "1311074",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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