Provider Demographics
NPI:1760416911
Name:PILOT MEDICAL SERVICES, LLC
Entity Type:Organization
Organization Name:PILOT MEDICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECTY/TREAS
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:N
Authorized Official - Last Name:SCHMUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-835-4300
Mailing Address - Street 1:PO BOX 276
Mailing Address - Street 2:
Mailing Address - City:POMPTON PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07444-0276
Mailing Address - Country:US
Mailing Address - Phone:973-835-4300
Mailing Address - Fax:973-831-4119
Practice Address - Street 1:13 1ST ST # 15
Practice Address - Street 2:UNIT 3
Practice Address - City:BLOOMINGDALE
Practice Address - State:NJ
Practice Address - Zip Code:07403-1213
Practice Address - Country:US
Practice Address - Phone:973-835-4300
Practice Address - Fax:973-831-4119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJPIL04022341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0065331Medicaid
NJ300417OtherAMERIGROUP
NJ87726OtherERICKSON ADVANTAGE
NJ091017Medicare ID - Type Unspecified