Provider Demographics
NPI:1518162627
Name:BOROUGH OF PALISADES PARK
Entity Type:Organization
Organization Name:BOROUGH OF PALISADES PARK
Other - Org Name:PALISADES PARK EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMERGENCY SERVICES ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:J
Authorized Official - Last Name:FINCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-944-4737
Mailing Address - Street 1:10 EXCHANGE PL FL 17
Mailing Address - Street 2:C/O NEW WORLD INSURANCE
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-3928
Mailing Address - Country:US
Mailing Address - Phone:201-656-0115
Mailing Address - Fax:201-656-4905
Practice Address - Street 1:410 2ND STREET
Practice Address - Street 2:
Practice Address - City:PALISADES PARK
Practice Address - State:NJ
Practice Address - Zip Code:07650
Practice Address - Country:US
Practice Address - Phone:201-944-4737
Practice Address - Fax:201-944-5528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJPAL05074341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance