NPIMap

Organization Active NPI

City of Milford

  • Land Ambulance
  • Milford, CT
National Provider Identifier
1114350477
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF MILFORD
Practice address
72 New Haven Ave
Milford, CT 06460-4827
Phone
(203) 874-6321
NPI assigned
Aug 9, 2013
Organization subpart
Yes
Parent organization
CITY OF MILFORDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Christopher Waiksnoris
Title
Assistant Chief
Phone
(203) 874-6321

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X C084P1 CT
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

72 New Haven Ave
Milford, CT 06460-4827

Mailing address

72 New Haven Ave
Milford, CT 06460-4827
Phone (203) 874-6321

Other names 1

  • City of Milford d/b/a Milford Fire EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140203000363 CT Part B Supplier - Ambulance Service Supplier 2961631437 Practice locations: Milford, CT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
City of Milford2 organizations share this tax ID, including this one
Part of
City of Milford

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

72 New Haven Ave
Milford, CT 06460
Phone (203) 874-6321

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1114350477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 NEW HAVEN AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604827",
            "telephone_number": "203-874-6321",
            "fax_number": "203-783-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 NEW HAVEN AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604827",
            "telephone_number": "203-874-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MILFORD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF MILFORD",
        "enumeration_date": "2013-08-09",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "WAIKSNORIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "ASSISTANT CHIEF",
        "authorized_official_telephone_number": "203-874-6321"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": "C084P1",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Milford d/b/a Milford Fire EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.