Provider Demographics
NPI:1982603544
Name:RAHWAY FIRST AID EMERGENCY SQUAD
Entity Type:Organization
Organization Name:RAHWAY FIRST AID EMERGENCY SQUAD
Other - Org Name:RAHWAY EMERGENCY SQUAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:TORY
Authorized Official - Middle Name:
Authorized Official - Last Name:JANUIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-815-0464
Mailing Address - Street 1:PO BOX 207
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18105-0207
Mailing Address - Country:US
Mailing Address - Phone:484-664-2007
Mailing Address - Fax:484-664-2015
Practice Address - Street 1:905 STONE ST
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-2742
Practice Address - Country:US
Practice Address - Phone:732-815-0464
Practice Address - Fax:732-956-2101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-17
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ112577OtherAMERIGROUP
NJ1167513OtherHORIZON HEALTHCARE
NJ90020360001OtherCIGNA
NJA2724245OtherOXFORD
NJ8989702Medicaid
NJ3017724OtherAETNA
NJ910007918 00OtherAMERICHOICE
NJ0X00J25601OtherHEALTHNET
NJ0X00J25601OtherHEALTHNET
NJ=========OtherBLUE CROSS BLUE SHIELD
NJA2724245OtherOXFORD
NJ=========OtherBLUE CROSS BLUE SHIELD