Riverhead Volunteer Ambulance Corps Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0592 Issued in NY

Legal business name

RIVERHEAD VOLUNTEER AMBULANCE CORPS INC

Practice address

111 Osborn Ave
Riverhead, NY 11901

Phone

(631) 727-2395

Fax

(631) 727-2375

NPI assigned

Apr 3, 2018

Organization subpart

No

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

Authorized official

Name

Mary T Gentile

Title

Authorized Representative

Phone

(860) 257-7080

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": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1063918688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290184",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061290184",
            "telephone_number": "860-257-7080",
            "fax_number": "860-563-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 OSBORN AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "11901",
            "telephone_number": "631-727-2395",
            "fax_number": "631-727-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERHEAD VOLUNTEER AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "860-257-7080"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "0592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverhead Care Center LLC
• Riverhead Central School District
• Riverhead Chiropractic and Physical Therapy PLLC (Spine & Muscle)
• Riverhead Chiropractic Wellness, PC
• Riverhead Dental Assoc. P.C.
• Grace Anna Robayo, LMSW
• Robert Wilutis Occupational and Physical Therapy, PLLC (Robert Wilutis Hand Therapy, PLLC)
• Lewis A Roberts, MD
• Anne Rodriguez, L.C.S.W.
• David Anthony Rodriguez, OD

• Ambulance in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.