Provider Demographics
NPI:1326106675
Name:JERSEY CARE AMBULANCE SERVICES INC
Entity Type:Organization
Organization Name:JERSEY CARE AMBULANCE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SUMEER
Authorized Official - Middle Name:
Authorized Official - Last Name:TOTEJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-803-1210
Mailing Address - Street 1:22 PEQUANNOCK AVE
Mailing Address - Street 2:
Mailing Address - City:PEQUANNOCK
Mailing Address - State:NJ
Mailing Address - Zip Code:07440
Mailing Address - Country:US
Mailing Address - Phone:973-694-3305
Mailing Address - Fax:973-694-0335
Practice Address - Street 1:22 PEQUANNOCK AVE
Practice Address - Street 2:
Practice Address - City:PEQUANNOCK
Practice Address - State:NJ
Practice Address - Zip Code:07440
Practice Address - Country:US
Practice Address - Phone:973-694-3305
Practice Address - Fax:973-694-0335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0100013Medicaid
NJ0100013Medicaid