Organization Active NPI

Richmond County Ambulance Service, Inc.

  • Non-emergency Medical Transport (VAN)
  • Staten Island, NY
National Provider Identifier
1205199353
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
RICHMOND COUNTY AMBULANCE SERVICE, INC.
Doing business as
RCA Ambulance Service
Practice address
1355 Castleton Ave
Staten Island, NY 10310-1704
Phone
(718) 273-3555
Fax
(718) 273-7479
NPI assigned
Jun 22, 2012
Organization subpart
Yes
Parent organization
RICHMOND COUNTY AMBULANCE SERVICE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Authorized official

Name
Mr. Eliezer C Gewirtzman
Title
Ceo
Phone
(718) 273-7703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NY Primary

Addresses

Primary practice location

1355 Castleton Ave
Staten Island, NY 10310-1704

Mailing address

1355 Castleton Ave
Staten Island, NY 10310-1704
Phone (718) 273-3555

Other identifiers 1

IdentifierTypeStateIssuer
02991124MedicaidNY

Other names 1

  • RCA Ambulance Service Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Richmond County Ambulance Service Inc2 organizations share this tax ID, including this one
Part of
Richmond County Ambulance Service Inc

Other organizations with this tax ID 1

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

Locations

1355 Castleton Ave
Staten Island, NY 10310
Phone (718) 273-3555

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1205199353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 CASTLETON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101704",
            "telephone_number": "718-273-3555",
            "fax_number": "718-273-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 CASTLETON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101704",
            "telephone_number": "718-273-3555",
            "fax_number": "718-273-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND COUNTY AMBULANCE SERVICE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHMOND COUNTY AMBULANCE SERVICE, INC.",
        "enumeration_date": "2012-06-22",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "GEWIRTZMAN",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-273-7703",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02991124",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RCA Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RCA Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.