Organization Active NPI

RG Ambulance Service, Inc.

  • Land Ambulance
  • Miami, FL
National Provider Identifier
1205183605
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
RG AMBULANCE SERVICE, INC.
Doing business as
American Ambulance
Practice address
2766 NW 62ND St
Miami, FL 33147-7662
Phone
(305) 779-0505
Fax
(305) 779-0500
NPI assigned
Aug 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Authorized official

Name
Mr. Charles Maymon
Title
Ceo
Phone
(888) 876-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

2766 NW 62ND St
Miami, FL 33147-7662

Mailing address

2766 NW 62ND St
Miami, FL 33147-7662
Phone (305) 779-0505

Other practice location 1

6605 NW 74th Ave
Miami, FL 33166-2819
Phone (888) 876-2100

Other practice location 2

3747 Silver Star Rd
Orlando, FL 32808-4627
Phone (888) 876-2100

Other names 1

  • American Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121120000419 FL Part B Supplier - Ambulance Service Supplier 7012168438 5 other NPIs on this enrollment
Practice locations: Fort Pierce, FL; Jacksonville, FL; Orlando, FL

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
All County Ambulance5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3747 Silver Star Rd
Orlando, FL 32808
Phone (407) 292-8777

3800 Meggison Rd
#1
The Villages, FL 32163

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1205183605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2766 NW 62ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331477662",
            "telephone_number": "305-779-0505",
            "fax_number": "305-779-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2766 NW 62ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331477662",
            "telephone_number": "305-779-0505",
            "fax_number": "305-779-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6605 NW 74th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331662819",
            "country_code": "US",
            "telephone_number": "888-876-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3747 Silver Star Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328084627",
            "country_code": "US",
            "telephone_number": "888-876-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RG AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "MAYMON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-876-2100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.