Provider Demographics
NPI:1144801036
Name:BOROUGH OF BELMAR
Entity Type:Organization
Organization Name:BOROUGH OF BELMAR
Other - Org Name:BOROUGH OF BELMAR EMERGENCY MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OF POLICE
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-681-1700
Mailing Address - Street 1:601 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BELMAR
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-2701
Mailing Address - Country:US
Mailing Address - Phone:732-681-3700
Mailing Address - Fax:732-681-3434
Practice Address - Street 1:601 MAIN ST
Practice Address - Street 2:
Practice Address - City:BELMAR
Practice Address - State:NJ
Practice Address - Zip Code:07719-2701
Practice Address - Country:US
Practice Address - Phone:732-681-3700
Practice Address - Fax:732-681-3434
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOROUGH OF BELMAR
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1311091OtherNJ DEPARTMENT OF HEALTH