Organization Active NPI

American Medical Response of Connecticut Incorporated

Doing business as Amr

  • Ambulance
  • New Haven, CT
National Provider Identifier
1043243538
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
AMERICAN MEDICAL RESPONSE OF CONNECTICUT INCORPORATED
Doing business as
Amr
American Medical Response
Practice address
58 Middletown Ave
New Haven, CT 06513-4839
Phone
(203) 781-1035
NPI assigned
Jul 8, 2006
Last updated
Mar 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Brian Scott Tierney
Title
Evp, Chief Financial Officer
Phone
(833) 703-2294

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary
Land Ambulance 3416L0300X NU

Addresses

Primary practice location

58 Middletown Ave
New Haven, CT 06513-4839

Mailing address

PO Box 100296
Atlanta, GA 30384-0296
Phone (800) 913-9106

Other identifiers 2

IdentifierTypeStateIssuer
008043785MedicaidCT
004072394MedicaidCT

Other names 2

  • AMR Doing business as
  • American Medical Response Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040601000799 CT Part B Supplier - Ambulance Service Supplier 1557343944 Practice locations: New Haven, CT; West Hartford, CT; Waterbury, CT

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
07D2043347American Medical Response of Connecticut58 Middletown Ave, New Haven, CT 06513Certificate of waiverJul 1, 2028

National Provider Directory

National Provider Directory

Locations

55 Church St
New Haven, CT 06510
Phone (203) 562-4107

55 Church St
Fl 6
New Haven, CT 06510
Phone (203) 562-4107

58 Middletown Ave
New Haven, CT 06513
Phone (203) 781-1035

289 Washington Ave
North Haven, CT 06473
Phone (800) 379-7700

117 E Aurora St
Waterbury, CT 06708
Phone (203) 573-7766

130 Shield St
West Hartford, CT 06110
Phone (860) 241-2420

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1043243538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100296",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840296",
            "telephone_number": "800-913-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 MIDDLETOWN AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065134839",
            "telephone_number": "203-781-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN MEDICAL RESPONSE OF CONNECTICUT INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "EVP, CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "833-703-2294"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008043785",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004072394",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "American Medical Response",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.