NPIMap

Organization Active NPI

Massachusetts Maritime Academy Emergency Medical Services

  • Land Ambulance
  • Buzzards Bay, MA
National Provider Identifier
1184368268
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MASSACHUSETTS MARITIME ACADEMY EMERGENCY MEDICAL SERVICES
Practice address
101 Academy Dr
Buzzards Bay, MA 02532-3405
Phone
(508) 830-5048
Fax
(508) 830-6468
NPI assigned
Apr 25, 2022
Last updated
Apr 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Dr. Jeffrey Cukor, MDNPI 1437133592
Title
Medical Director
Phone
(508) 830-5048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

101 Academy Dr
Buzzards Bay, MA 02532-3405

Mailing address

101 Academy Dr
Buzzards Bay, MA 02532-3405
Phone (508) 830-5048

Other names 1

  • Massachusetts Maritime Academy Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL MATRIS

National Provider Directory

National Provider Directory

Locations

101 Academy Dr
Buzzards Bay, MA 02532
Phone (508) 830-5048

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1184368268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ACADEMY DR",
            "city": "BUZZARDS BAY",
            "state": "MA",
            "postal_code": "025323405",
            "telephone_number": "508-830-5048",
            "fax_number": "508-830-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ACADEMY DR",
            "city": "BUZZARDS BAY",
            "state": "MA",
            "postal_code": "025323405",
            "telephone_number": "508-830-5048",
            "fax_number": "508-830-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS MARITIME ACADEMY EMERGENCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "CUKOR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "508-830-5048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MATRIS",
            "affiliation": "N",
            "endpointDescription": "secured MA State website for EMR submission of EMS records",
            "address_1": "101 Academy Dr",
            "city": "Buzzards Bay",
            "state": "MA",
            "country_code": "US",
            "postal_code": "025323405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Massachusetts Maritime Academy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Buzzards Bay, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.