Lifeline Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

7292 Issued in NY

Legal business name

LIFELINE AMBULANCE SERVICE INC

Practice address

2593 W 13TH St
Brooklyn, NY 11223-5812

Phone

(718) 645-8500

NPI assigned

May 27, 2005

Organization subpart

No

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

Authorized official

Name

Grace Rapisarda

Title

Administrator

Phone

(718) 645-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1114920774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2593 W 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235812",
            "telephone_number": "718-645-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2593 W 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235812",
            "telephone_number": "718-645-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "RAPISARDA",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-645-8500"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "7292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01508709",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Life Rehab PT PC
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• Life-Touch Pharmacy Inc
• Lifecare Family Chiropractic PC
• Lifeline Community Health LLC
• Lifeline Medical Corp.
• Lifeline Medical Imaging PC
• Lifeline Medical Supply
• Lifeline Physical Therapy PLLC

• Land Ambulance in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.