Bay Shore Brightwaters Rescue Ambulance Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BAY SHORE BRIGHTWATERS RESCUE AMBULANCE INC.

Practice address

911 Aletta Place
Bay Shore, NY 11706

Phone

(631) 666-5600

Fax

(631) 969-0169

NPI assigned

Jul 30, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Hoffman

Title

Vice President

Phone

(631) 566-5600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1003460890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4110, DEPT 8030",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018884110",
            "telephone_number": "914-366-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 ALETTA PLACE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-666-5600",
            "fax_number": "631-969-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY SHORE BRIGHTWATERS RESCUE AMBULANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "631-566-5600"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05987802",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcel A Bas Aguilar, MD
• Pamela Basuk, MD
• Marilyn Batista
• Aleksandra Bator
• Maria Valeria Bautista Rojas, MD
• Bay Shore Family Medicine Associates, P.C.
• Bay Shore Medical Healthcare PC
• Bay Shore Medical Services, P.C.
• Bay Shore OB GYN Group PC
• Bay Shore Physical Medicine &Rehabilitation

• Land Ambulance in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.