Stony Brook Volunteer Ambulance Corps Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

STONY BROOK VOLUNTEER AMBULANCE CORPS INC

Practice address

100 Gymnasium Rd
Stony Brook, NY 11794-0001

Phone

(631) 632-9500

NPI assigned

Apr 16, 2025

Organization subpart

No

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

Authorized official

Name

Lawrence Zacarese

Title

VP

Phone

(631) 632-9500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1053107169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GYMNASIUM RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-632-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GYMNASIUM RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-632-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY BROOK VOLUNTEER AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "ZACARESE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "631-632-9500"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stony Brook University Hospital
• Stony Brook University Hospital
• Stony Brook University Hospital
• Stony Brook University Medical Center
• Stony Brook University Medical Center
• Stonybrook Regional Chiropractic PC
• Stonybrook Surigcal Assoicates
• Stonybrook University Hospital
• Stonybrook University Medical Center
• Stonybrook University Student Health Service

• Land Ambulance in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.