Organization Active NPI

East Midwood Volunteer Ambulance Corps Incorporated

  • Land Ambulance
  • Brooklyn, NY
National Provider Identifier
1124246343
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
7611 Issued in NY
Legal business name
EAST MIDWOOD VOLUNTEER AMBULANCE CORPS INCORPORATED
Practice address
744 - Coney Island Avenue
Brooklyn, NY 11218
Phone
(718) 252-1618
Fax
(718) 228-7775
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Authorized official

Name
Mr. Yanky Kornitzer
Title
President
Phone
(718) 252-1618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 7611 NY Primary

Addresses

Primary practice location

744 - Coney Island Avenue
Brooklyn, NY 11218

Mailing address

744 - Coney Island Avenue
Brooklyn, NY 11218
Phone (718) 252-1618

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090709000002 NY Part B Supplier - Ambulance Service Supplier 6002968831 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

744 Coney Island Ave
Brooklyn, NY 11218
Phone (718) 252-1618

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1124246343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 - CONEY ISLAND AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11218",
            "telephone_number": "718-252-1618",
            "fax_number": "718-228-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 - CONEY ISLAND AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11218",
            "telephone_number": "718-252-1618",
            "fax_number": "718-228-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MIDWOOD VOLUNTEER AMBULANCE CORPS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "KORNITZER",
        "authorized_official_first_name": "YANKY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-252-1618",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "7611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.