Phoenix Transport Corporation Dba

Primary specialty

AmbulanceTaxonomy code 341600000X

License

10122 Issued in NY

Legal business name

PHOENIX TRANSPORT CORPORATION DBA

Practice address

1580 Ocean Ave
Bohemia, NY 11716-1916

Phone

(631) 244-0280

Fax

(631) 244-0286

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

John Martorano

Title

Billing Supervisor

Phone

(866) 972-9224

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EMERGENCY AMBULANCE SERVICE Doing business as

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1073546206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MOTOR PKWY",
            "address_2": "SUITE 300",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885101",
            "telephone_number": "866-972-9224",
            "fax_number": "845-897-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 OCEAN AVE",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117161916",
            "telephone_number": "631-244-0280",
            "fax_number": "631-244-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX TRANSPORT CORPORATION DBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "MARTORANO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "866-972-9224"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02099470",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMERGENCY AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle C. Pesca, PH.D.
• Peter Bourque NP LLC
• Lauren Petrelli, BA
• Pharmacy Solution Services LLC
• Nichole Phillip-Leith, LPN
• Amanda Kristine Phua
• Melissa April Picone, M.A
• Jennifer Ann Pierce
• Pilip Medical Care
• Sareth Pinnamaneni, M.D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.