SOUTH RIVER EMS INC NPI 1295962819

NPI Information

  • NPI: 1295962819
  • Provider Name: SOUTH RIVER EMS INC
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • CLIA Number: 31D2248219
  • Address: 729 HIGHWAY 18 FL 2
    EAST BRUNSWICK, NJ
    ZIP 08816
  • Phone: (732) 481-1910

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NPI Details

SOUTH RIVER EMS INC is a land transport ambulance in East Brunswick, NJ. SOUTH RIVER EMS INC NPI is 1295962819. The provider is registered as an organization entity type.

The provider's business location address is:

729 HIGHWAY 18 FL 2
EAST BRUNSWICK, NJ
ZIP 08816-933
Phone: (732) 481-1910
Fax: (732) 374-4824

The provider's authorized official is Michael Thomas Ayers .
The authorized official title is Executive Director - Ems and has the following contact phone number (732) 213-2246.

The CLIA number assigned to this NPI record is 31D2248219 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2009 and was last updated on 6/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand TransportYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10283088MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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