Lindenwood Community Volunteer Ambulance Corps

Primary specialty

AmbulanceTaxonomy code 341600000X

License

7353 Issued in NY

Legal business name

LINDENWOOD COMMUNITY VOLUNTEER AMBULANCE CORPS

Practice address

9410 133Rd Ave
Ozone Park, NY 11417-2022

Phone

(718) 738-3029

Fax

(718) 641-6464

NPI assigned

Oct 26, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Mary T Gentile

Title

Authorized Agent

Phone

(860) 257-9201

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1124018593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290184",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061290184",
            "telephone_number": "860-257-9201",
            "fax_number": "860-721-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9410 133RD AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114172022",
            "telephone_number": "718-738-3029",
            "fax_number": "718-641-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDENWOOD COMMUNITY VOLUNTEER AMBULANCE CORPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "860-257-9201",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "7353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01440179",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590008132",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Liang, PHARMD
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• Little Neck Radiology, P.C.
• Edward Liu, PHD
• Glennie Llano
• Lola Iskhakova Physician PLLC
• Shane M Lopes, OCCUPATIONAL THERAPI

• Ambulance in Ozone Park, NY
• Providers in Ozone Park, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.