Incorporated Village of East Rockaway

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

INCORPORATED VILLAGE OF EAST ROCKAWAY

Practice address

473 Atlantic Ave
East Rockaway, NY 11518-1414

Phone

(516) 319-8570

NPI assigned

Jan 26, 2024

Last updated

Apr 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert BristolNPI 1457684268

Title

CPT

Phone

(516) 319-8570

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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.

• Robert F Bristol, ATC, LAT, AEMT

  • Athletic Trainer
  • Rockville Centre, NY
  • NPI 1457684268
  NPD Authorized official

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1245092113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 ATLANTIC AVE",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 ATLANTIC AVE",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181414",
            "telephone_number": "516-319-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCORPORATED VILLAGE OF EAST ROCKAWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "BRISTOL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CPT",
        "authorized_official_telephone_number": "516-319-8570"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zivi Hahami, M.D.
• Rafeena Hanif
• Jessica A Harrison, LPN
• Jessica Laura Hettler, DPT, ATC, CERT MDT
• Leon Hodes, M.D.
• John Carparelli (Triseto)
• Thomas Karlin
• Brian J Katz, D.C.
• Ricky Ellen Kauget, M.ED.
• Margarita Kaus, DDS

• Land Ambulance in East Rockaway, NY
• Providers in East Rockaway, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.