Organization Active NPI

Empress Ambulance Service LLC

  • Ambulance
  • Yonkers, NY
National Provider Identifier
1003878596
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
EMPRESS AMBULANCE SERVICE LLC
Practice address
722 Nepperhan Ave
Yonkers, NY 10703-2312
Phone
(914) 965-5040
Fax
(914) 965-9776
NPI assigned
Apr 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
Mr. Michael Minerva
Title
Senior Vice President
Phone
(914) 965-5040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

722 Nepperhan Ave
Yonkers, NY 10703-2312

Mailing address

722 Nepperhan Avenue
Yonkers, NY 10703
Phone (914) 965-5040

Other identifiers 7

IdentifierTypeStateIssuer
002068OtherCOMMUNITY CHOICE
1000001056OtherAFFINITY HEALTH PLAN
105425OtherWELLCARE
NY0057OtherACS HEALTHNET
590111591OtherRAILROAD
00321095MedicaidNY
ANC787OtherOXFORD HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080408000311 NY Part B Supplier - Ambulance Service Supplier 5991882441 Practice locations: Mount Vernon, NY; New Rochelle, NY; Newburgh, NY; Pawling, NY; Pleasant Valley, NY; Poughkeepsie, NY; Poughquag, NY; Rhinebeck, NY…
O20201125001216 NY Part B Supplier - Mass Immunization (Roster Biller Only) 5991882441 Practice locations: Yonkers, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2131125Empress Ambulance Service722 Nepperhan Avenue, Yonkers, NY 10703Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

8 Old North Rd
Ste 2
Amenia, NY 12501
Phone (845) 244-0844

1315 Loomis St
Bronx, NY 10461
Phone (718) 892-7801

1786 Kings Hwy
Chester, NY 10918

1915 Lucas Avenue Ext
Cottekill, NY 12419
Phone (845) 687-7607

3048 Route 22
Dover Plains, NY 12522
Phone (845) 877-7216

94 Radcliff Rd
Ferndale, NY 12734

25 Milton Ave
Highland, NY 12528
Phone (845) 691-2421

10 Crum Elbow Rd
Hyde Park, NY 12538

1776 Ulster Ave
Lake Katrine, NY 12449

397 N Main St
Liberty, NY 12754

2 Jefferson St
Monticello, NY 12701

435 S Fulton Ave
Mount Vernon, NY 10553

756 North Ave
New Rochelle, NY 10801

45 Harrison St
New Rochelle, NY 10801

25 South St
Pawling, NY 12564

12 Charles St
Pleasant Valley, NY 12569

6030 Route 82
Stanfordville, NY 12581

16 Middlebush Rd
Wappingers Fl, NY 12590
Phone (845) 225-8888

655 N St
White Plains, NY 10605

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1003878596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 NEPPERHAN AVENUE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10703",
            "telephone_number": "914-965-5040",
            "fax_number": "914-965-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 NEPPERHAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032312",
            "telephone_number": "914-965-5040",
            "fax_number": "914-965-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPRESS AMBULANCE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "MINERVA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "914-965-5040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CHOICE",
            "identifier": "002068",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY HEALTH PLAN",
            "identifier": "1000001056",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "105425",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS HEALTHNET",
            "identifier": "NY0057",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "590111591",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00321095",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "ANC787",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.