EMS of Long Island College Hospital

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

EMS OF LONG ISLAND COLLEGE HOSPITAL

Practice address

339 Hicks St
Brooklyn, NY 11201-5509

Phone

(718) 780-1964

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Ed Cabalero

Title

Director of Emergency Medical Ser

Phone

(718) 780-1964

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013959451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32284",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061502284",
            "telephone_number": "610-401-2041",
            "fax_number": "610-401-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 HICKS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015509",
            "telephone_number": "718-780-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMS OF LONG ISLAND COLLEGE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CABALERO",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "DIRECTOR OF EMERGENCY MEDICAL SER",
        "authorized_official_telephone_number": "718-780-1964"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02156774",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.