Active NPI
Greenwich Emergency Medical Service, Inc.
- Ambulance
- Riverside, CT
National Provider Identifier
1073534335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- C057P1
- Legal business name
- GREENWICH EMERGENCY MEDICAL SERVICE, INC.
- Practice address
- 1111 E Putnam Ave
Riverside, CT 06878-1335 - Phone
- (203) 637-7505
- Fax
- (203) 637-1762
- NPI assigned
- Jul 22, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Strong
- Title
- Fiscal Officer
- Phone
- (203) 637-7505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | C057P1 | CT | Primary |
Addresses
Primary practice location
1111 E Putnam Ave
Riverside, CT 06878-1335
Mailing address
1111 E Putnam Ave
Riverside, CT 06878-1335
Phone (203) 637-7505
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CT0117 | Other | CT | HEALTHNET |
| 0095353 | Other | CT | AETNA |
| A644995 | Other | CT | OXFORD |
| 0490917 | Other | CT | CIGNA |
| 621171 | Other | CT | CONNECTICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070721000022 | CT | Part B Supplier - Ambulance Service Supplier | 5698730117 | Practice locations: Riverside, CT |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Stamford, CT
- NPI 1043319627
Member Of
Locations
141 Lower Cross Rd
Greenwich, CT 06831
Phone (203) 869-6131
1111 E Putnam Ave
Riverside, CT 06878
Phone (203) 637-7505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073534335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 E PUTNAM AVE",
"city": "RIVERSIDE",
"state": "CT",
"postal_code": "068781335",
"telephone_number": "203-637-7505",
"fax_number": "203-637-1762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 E PUTNAM AVE",
"city": "RIVERSIDE",
"state": "CT",
"postal_code": "068781335",
"telephone_number": "203-637-7505",
"fax_number": "203-637-1762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENWICH EMERGENCY MEDICAL SERVICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STRONG",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "FISCAL OFFICER",
"authorized_official_telephone_number": "203-637-7505",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "CT",
"license": "C057P1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "CT0117",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0095353",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "A644995",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0490917",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "621171",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CT
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.