Provider Demographics
NPI:1023320959
Name:TOWNSHIP OF ROCHELLE PARK
Entity type:Organization
Organization Name:TOWNSHIP OF ROCHELLE PARK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROLAND
Authorized Official - Middle Name:C
Authorized Official - Last Name:JACOBSEN
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:201-587-7744
Mailing Address - Street 1:151 W PASSAIC ST
Mailing Address - Street 2:
Mailing Address - City:ROCHELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07662-3105
Mailing Address - Country:US
Mailing Address - Phone:201-587-7744
Mailing Address - Fax:201-587-7741
Practice Address - Street 1:1 LOTZ LN
Practice Address - Street 2:
Practice Address - City:ROCHELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07662-4100
Practice Address - Country:US
Practice Address - Phone:201-587-7744
Practice Address - Fax:201-587-7741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-08
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJR0211060OtherNJ DEPT. OF HEALTH & SENIOR SERVICES