Provider Demographics
NPI:1831556109
Name:TINTON FALLS EMERGENCY MEDICAL SERVICES INC
Entity type:Organization
Organization Name:TINTON FALLS EMERGENCY MEDICAL SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARY
Authorized Official - Middle Name:
Authorized Official - Last Name:COSTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-542-3400
Mailing Address - Street 1:20 E TAUNTON RD STE 560
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08009-2625
Mailing Address - Country:US
Mailing Address - Phone:866-476-1702
Mailing Address - Fax:609-481-2270
Practice Address - Street 1:46 OLD MILL RD
Practice Address - Street 2:
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07724-3235
Practice Address - Country:US
Practice Address - Phone:732-542-5561
Practice Address - Fax:732-542-2397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-18
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJTIN04064341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance