Provider Demographics
NPI:1033153556
Name:COUNTY OF PASSAIC DEPARTMENT OF FINANCE
Entity Type:Organization
Organization Name:COUNTY OF PASSAIC DEPARTMENT OF FINANCE
Other - Org Name:PASSAIC COUNTY SHERIFF'S DEPT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:MANZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-796-4055
Mailing Address - Street 1:PO BOX 949
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-0949
Mailing Address - Country:US
Mailing Address - Phone:866-624-0900
Mailing Address - Fax:732-640-1138
Practice Address - Street 1:300 OLDHAM RD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2209
Practice Address - Country:US
Practice Address - Phone:973-389-5900
Practice Address - Fax:973-389-9563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJN/A3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1614011OtherNJ DOH