Provider Demographics
NPI:1265857171
Name:RESCUEHEART MEDICAL SERVICES
Entity type:Organization
Organization Name:RESCUEHEART MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HEROLD
Authorized Official - Middle Name:J
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-888-2328
Mailing Address - Street 1:256 BERGEN BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-2502
Mailing Address - Country:US
Mailing Address - Phone:973-304-4386
Mailing Address - Fax:973-304-4388
Practice Address - Street 1:256 BERGEN BLVD STE 101
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07424-2502
Practice Address - Country:US
Practice Address - Phone:973-304-4386
Practice Address - Fax:973-304-4388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-28
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1006203416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport