Northeastern Ambulance Service LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

10289 Issued in NY

Legal business name

NORTHEASTERN AMBULANCE SERVICE LLC

Practice address

206 Broadway
Whitehall, NY 12887

Phone

(516) 677-5906

NPI assigned

Jun 27, 2006

Organization subpart

No

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

Authorized official

Name

John H Gebo

Title

Co Owner

Phone

(518) 677-5906

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003843814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "13027",
            "telephone_number": "315-635-1789",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BROADWAY",
            "city": "WHITEHALL",
            "state": "NY",
            "postal_code": "12887",
            "telephone_number": "516-677-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN AMBULANCE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEBO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "518-677-5906"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "951635",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01556656",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gretchen Ann Lovering, SLP
• Shannon Monty, LADC
• Ma Danica Paula Desabille Reyes, DPT
• Kathryn S. Riley, SLP
• Puja Sharma, MD
• Skenesborough Emergency Squad Inc
• Donna M Tipton, RN

• Ambulance in Whitehall, NY
• Providers in Whitehall, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.