Provider Demographics
NPI:1578869871
Name:THE HACKETTSTOWN FIRST AID & RESCUE SQUAD
Entity Type:Organization
Organization Name:THE HACKETTSTOWN FIRST AID & RESCUE SQUAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:MAIALETTI
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:201-874-0603
Mailing Address - Street 1:PO BOX 201
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-0201
Mailing Address - Country:US
Mailing Address - Phone:908-452-5970
Mailing Address - Fax:908-452-5974
Practice Address - Street 1:123 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-2005
Practice Address - Country:US
Practice Address - Phone:908-452-5970
Practice Address - Fax:908-452-5974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-03
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0268020Medicaid
NJ222408Medicare PIN
P00985651Medicare PIN