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MONTCLAIR AMBULANCE UNIT
NPI 1962726638
Ambulance - Land Transport in Montclair, NJ

Active since March 24, 2010CLIA 31D2314708 · Waiver
95 WALNUT ST, MONTCLAIR, NJ 07042(973) 783-7624 Get Directions Write a Review

NPPES record last updated: March 24, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Montclair Ambulance Unit NPPES

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

MONTCLAIR AMBULANCE UNIT (NPI 1962726638) is a healthcare organization registered as a land transport in Montclair, New Jersey and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through November 25, 2026 and lists Jonathan Hirsh, President, as its authorized official.

NPPES Registry Identity

NPI1962726638
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameMONTCLAIR AMBULANCE UNIT
Location Address95 WALNUT STMontclair, NJ 07042-4038
Mailing AddressPo Box 868Voorhees, NJ 08043-0868 · (856) 784-8004 · Fax (856) 768-2739
Phone(973) 783-7624
Organization SubpartNo
Authorized OfficialJonathan HirshPresident · (973) 783-7624
Enumeration DateMarch 24, 2010
✔ NPI 1962726638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in NJ · M0711014
95 WALNUT ST, Montclair, NJ 07042
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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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 IDO20100505000699Non-DME Part B · Ambulance Service SupplierDue dateFebruary 28, 2027
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 31D2314708

Montclair Ambulance Unit · Montclair, NJ
Active · expires Nov 25, 2026
CLIA Number31D2314708
Laboratory TypeAmbulance
Certificate Effective DateNovember 26, 2024
Certificate Expiration DateNovember 25, 2026
Laboratory DirectorChristopher Valerian
Laboratory Phone(973) 783-7624
Laboratory LocationMontclair Ambulance Unit95 Walnut Street, Montclair, NJ 07042
CLIA data matches this NPI record on: Address 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.
3,767 services731 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.
912 services622 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
172 services159 patients

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 Montclair Ambulance Unit's NPI number?

The NPI number for Montclair Ambulance Unit is 1962726638. It was assigned to this organization in the NPPES registry on March 24, 2010.

Where is Montclair Ambulance Unit located?

Montclair Ambulance Unit is located at 95 Walnut St, Montclair, NJ 07042. The listed phone number is (973) 783-7624.

What is Montclair Ambulance Unit's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Is Montclair Ambulance Unit enrolled in Medicare?

Yes. Montclair Ambulance Unit is registered in the Medicare PECOS enrollment system.

When is Montclair Ambulance Unit'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 February 28, 2027. 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 Montclair Ambulance Unit hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2314708) is associated with this NPI, valid through November 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Montclair Ambulance Unit was last updated on March 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.