MEDICARE: CITY OF OCEAN CITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	OCEA00424	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710967872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF OCEAN CITY

Provider Business Mailing Address
First Line	:	26TH STREET & BAY AVE
Second Line	:
City	:	OCEAN CITY
State	:	NJ
Zip	:	08226-3642
Country	:	US
Telephone Number	:	609-525-9287
Fax Number	:	609-399-7828

Provider Business Practice Location Address
First Line	:	861 ASBURY AVE
Second Line	:
City	:	OCEAN CITY
State	:	NJ
Zip	:	08226-3624
Country	:	US
Telephone Number	:	609-525-9287
Fax Number	:	609-399-7828

Authorized Official
Title or Position	:	MANAGER OF REVENUE COLLECTION
Name	:	MR. WILLIAM COLANGELO
Credential	:
Telephone Number	:	609-525-9223

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	07/15/2008

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Directions to “CITY OF OCEAN CITY ” Practice Location

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