Provider Demographics
NPI:1134513021
Name:WESTERN MONMOUTH EMERGENCY MEDICAL SERVICES INC
Entity type:Organization
Organization Name:WESTERN MONMOUTH EMERGENCY MEDICAL SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CUCCIA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:732-740-3738
Mailing Address - Street 1:PO BOX 294
Mailing Address - Street 2:
Mailing Address - City:ENGLISHTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-0294
Mailing Address - Country:US
Mailing Address - Phone:908-740-3738
Mailing Address - Fax:
Practice Address - Street 1:7 SANFORD ST
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3807
Practice Address - Country:US
Practice Address - Phone:732-740-3738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-27
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ13110813416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport