Organization Active NPI

North Shore Ambulance&Oxygen Service Inc

  • Land Ambulance
  • Corona, NY
National Provider Identifier
1174683056
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
7360 Issued in NY
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

Updated by the provider on Jun 4, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00321673MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070613000380 NY Part B Supplier - Ambulance Service Supplier 0941308092 Practice locations: College Point, NY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.