Organization Active NPI

All Island Ambulette

  • Non-emergency Medical Transport (VAN)
  • Bay Shore, NY
National Provider Identifier
1043301914
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
02663629 Issued in NY
Legal business name
ALL ISLAND AMBULETTE
Practice address
1250 St. Louis Avenue
Bay Shore, NY 11706
Phone
(631) 666-7700
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Genadiy Abdurahmanov
Title
Manager
Phone
(917) 903-2086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 02663629 NY Primary

Addresses

Primary practice location

1250 St. Louis Avenue
Bay Shore, NY 11706

Mailing address

1250 St. Louis Avenue
Bay Shore, NY 11706
Phone (631) 666-7700

Other identifiers 2

IdentifierTypeStateIssuer
01218280MedicaidNY
02663629MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
All Island Ambulette2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043301914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 ST. LOUIS AVENUE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-666-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 ST. LOUIS AVENUE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-666-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ISLAND AMBULETTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABDURAHMANOV",
        "authorized_official_first_name": "GENADIY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-903-2086",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "02663629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01218280",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02663629",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • 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.