Active NPI
RG Ambulance Service, Inc.
- Land Ambulance
- Miami, FL
National Provider Identifier
1205183605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Ambulance
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Miami, FL
- NPI 1306196183
-
- Non-emergency Medical Transport (VAN)
- Miami, FL
- NPI 1932459625
-
- Land Ambulance
- Fort Pierce, FL
- NPI 1568711299
-
- Land Ambulance
- Jacksonville, FL
- NPI 1649959883
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.