Provider Demographics
NPI:1053307157
Name:TOWNSHIP OF LAKEWOOD OCEAN COUNTY
Entity Type:Organization
Organization Name:TOWNSHIP OF LAKEWOOD OCEAN COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN DE ZILVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-901-8487
Mailing Address - Street 1:1555 PINE ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-4904
Mailing Address - Country:US
Mailing Address - Phone:732-901-8487
Mailing Address - Fax:732-901-6421
Practice Address - Street 1:231 3RD ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3220
Practice Address - Country:US
Practice Address - Phone:732-364-2500
Practice Address - Fax:732-914-0470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-23
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6125905Medicaid
NJ6125905Medicaid