Provider Demographics
NPI:1194916106
Name:TOWNSHIP OF MAPLEWOOD
Entity type:Organization
Organization Name:TOWNSHIP OF MAPLEWOOD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SUMEER
Authorized Official - Middle Name:
Authorized Official - Last Name:TOTEJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-906-1800
Mailing Address - Street 1:105 DUNNELL RD
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-2622
Mailing Address - Country:US
Mailing Address - Phone:973-762-6500
Mailing Address - Fax:973-763-4622
Practice Address - Street 1:105 DUNNELL RD
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-2622
Practice Address - Country:US
Practice Address - Phone:973-762-6500
Practice Address - Fax:973-763-4622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMAPL003353416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8906807Medicaid
NJ8906807Medicaid