Organization Active NPI

Greenwich Emergency Medical Service, Inc.

  • Ambulance
  • Riverside, CT
National Provider Identifier
1073534335
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
C057P1 Issued in CT
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, 2020By the provider in NPPES
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. John Strong
Title
Fiscal Officer
Phone
(203) 637-7505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CT0117OtherCTHEALTHNET
0095353OtherCTAETNA
A644995OtherCTOXFORD
0490917OtherCTCIGNA
621171OtherCTCONNECTICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070721000022 CT Part B Supplier - Ambulance Service Supplier 5698730117 Practice locations: Riverside, CT

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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.

Verify at the official NPI Registry.