Provider Demographics
NPI:1306183769
Name:TOWNSHIP OF BERKELEY
Entity Type:Organization
Organization Name:TOWNSHIP OF BERKELEY
Other - Org Name:BERKELEY TOWNSHIP EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:EBENAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-244-7400
Mailing Address - Street 1:627 PINEWALD KESWICK RD
Mailing Address - Street 2:
Mailing Address - City:BAYVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08721-2778
Mailing Address - Country:US
Mailing Address - Phone:732-244-7400
Mailing Address - Fax:609-654-2106
Practice Address - Street 1:627 PINEWALD KESWICK RD
Practice Address - Street 2:
Practice Address - City:BAYVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08721-2778
Practice Address - Country:US
Practice Address - Phone:732-244-7400
Practice Address - Fax:609-654-2106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1511055341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance