Active NPI
North Shore Ambulance&Oxygen Service Inc
- Land Ambulance
- Corona, NY
National Provider Identifier
1174683056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 7360
- Legal business name
- NORTH SHORE AMBULANCE&OXYGEN SERVICE INC
- Practice address
- 11018 Corona Ave
Corona, NY 11368-4029 - Phone
- (718) 458-9300
- Fax
- (718) 699-4321
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Anthony Tufaro
- Title
- Ceo
- Phone
- (718) 458-9300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 7360 | NY | Primary |
| Non-emergency Medical Transport (VAN) | 343900000X | B90162 | NY |
Addresses
Primary practice location
11018 Corona Ave
Corona, NY 11368-4029
Mailing address
11018 Corona Ave
Corona, NY 11368-4029
Phone (718) 458-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00321673 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070613000380 | NY | Part B Supplier - Ambulance Service Supplier | 0941308092 | Practice locations: College Point, NY |
National Provider Directory
National Provider DirectoryLocations
11209 14th Ave
College Point, NY 11356
Phone (718) 458-9300
11018 Corona Ave
Flushing, NY 11368
Phone (718) 458-9300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401840000000",
"number": "1174683056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11018 CORONA AVE",
"city": "CORONA",
"state": "NY",
"postal_code": "113684029",
"telephone_number": "718-458-9300",
"fax_number": "718-699-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11018 CORONA AVE",
"city": "CORONA",
"state": "NY",
"postal_code": "113684029",
"telephone_number": "718-458-9300",
"fax_number": "718-699-4321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH SHORE AMBULANCE&OXYGEN SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2014-06-04",
"status": "A",
"authorized_official_last_name": "TUFARO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-458-9300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NY",
"license": "7360",
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NY",
"license": "B90162",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00321673",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.