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

Organization subpart

No

Name

Robert BristolNPI 1457684268

Title

CPT

Phone

(516) 319-8570

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert F Bristol, ATC, LAT, AEMT

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

Medicare fee-for-service enrollment

Enrolled in NY

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 11, 2024.

{
    "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": []
}

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

• All providers in East Rockaway, NY
• 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.