Organization Active NPI

Atlantic Ambulette Service, Inc

  • Non-emergency Medical Transport (VAN)
  • Baldwin, NY
National Provider Identifier
1245680909
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
38271 Issued in NY
Legal business name
ATLANTIC AMBULETTE SERVICE, INC
Practice address
3017 Grand Blvd
Baldwin, NY 11510-4719
Phone
(516) 467-6823
NPI assigned
Jun 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Mr. Thaddeus Ashimole
Title
President
Phone
(516) 467-6823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 38271 NY Primary

Addresses

Primary practice location

3017 Grand Blvd
Baldwin, NY 11510-4719

Mailing address

3017 Grand Blvd
Baldwin, NY 11510-4719
Phone (516) 467-6823

Other identifiers 1

IdentifierTypeStateIssuer
03466608MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1245680909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 GRAND BLVD",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104719",
            "telephone_number": "516-467-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 GRAND BLVD",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104719",
            "telephone_number": "516-467-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC AMBULETTE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "ASHIMOLE",
        "authorized_official_first_name": "THADDEUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-467-6823",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "38271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03466608",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.