Provider Demographics
NPI:1235354044
Name:VILLAGE OF RIDGEWOOD
Entity Type:Organization
Organization Name:VILLAGE OF RIDGEWOOD
Other - Org Name:RIDGEWOOD EMERGENCY SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PULLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-670-5570
Mailing Address - Street 1:131 N MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-3256
Mailing Address - Country:US
Mailing Address - Phone:201-670-5570
Mailing Address - Fax:201-670-5573
Practice Address - Street 1:33 DOUGLAS PL
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-2506
Practice Address - Country:US
Practice Address - Phone:201-670-5570
Practice Address - Fax:201-670-5573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJRIDG00495341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance