GEM AMBULANCE LLC
NPI 1063693919
Ambulance in Lakewood, NJ

Active since November 20, 2007CLIA 08D2055582 · Waiver
1750 CEDAR BRIDGE AVE, LAKEWOOD, NJ 08701(732) 575-1700 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gem Ambulance Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEM AMBULANCE LLC (NPI 1063693919) is a healthcare organization registered as an ambulance in Lakewood, New Jersey and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists Jacob Halpern, President, as its authorized official.

NPPES Registry Identity

NPI1063693919
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameGEM AMBULANCE LLC
Location Address1750 CEDAR BRIDGE AVELakewood, NJ 08701-6921
Mailing AddressPo Box 5Lakewood, NJ 08701-0005 · (732) 575-1700
Organization SubpartNo
Authorized OfficialJacob HalpernPresident · (732) 575-1700
Enumeration DateNovember 20, 2007
Last NPPES UpdateJuly 1, 2015
✔ NPI 1063693919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in NJ · G1512050
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
1750 CEDAR BRIDGE AVE, Lakewood, NJ 08701

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gem Ambulance Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20071217000347Non-DME Part B · Ambulance Service SupplierDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 08D2055582

Gem Ambulance · Newark, DE
Active · expires Mar 13, 2027
CLIA Number08D2055582
Laboratory TypeAmbulance
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorDavid Taylor
Laboratory Phone(732) 575-1700
Laboratory LocationGem Ambulance35 Salem Church Rd, Bldg A, Unit 1, Newark, DE 19713
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
88,585 services5,906 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
8,051 services3,249 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
3,588 services2,817 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Emergency Care)
1750 CEDAR BRIDGE AVE
LAKEWOOD, NJ 08701
Ambulance (Land Transport)
1750 CEDAR BRIDGE AVE
LAKEWOOD, NJ 08701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gem Ambulance LLC's NPI number?

The NPI number for Gem Ambulance LLC is 1063693919. It was assigned to this organization in the NPPES registry on November 20, 2007.

Where is Gem Ambulance LLC located?

Gem Ambulance LLC is located at 1750 Cedar Bridge Ave, Lakewood, NJ 08701. The listed phone number is (732) 575-1700.

What is Gem Ambulance LLC's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Is Gem Ambulance LLC enrolled in Medicare?

Yes. Gem Ambulance LLC is registered in the Medicare PECOS enrollment system.

When is Gem Ambulance LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Ambulance Service Supplier) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Gem Ambulance LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 08D2055582) is associated with this NPI, valid through March 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gem Ambulance LLC was last updated on July 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.