Patchogue Fire Dept Ambulance Co Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

32538 Issued in NY

Legal business name

PATCHOGUE FIRE DEPT AMBULANCE CO INC

Practice address

336 W Main St
Patchogue, NY 11772-3010

Phone

(631) 475-5490

NPI assigned

Mar 10, 2017

Reactivated

Feb 2, 2024

Last updated

Apr 16, 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

Mr. John Rocco

Title

Supervisor

Phone

(631) 872-9084

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.

• Anna Marie Dowling

  • Counselor
  • Patchogue, NY
  • NPI 1578279428
  NPD

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1255872214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 W MAIN ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723010",
            "telephone_number": "631-475-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 W MAIN ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723010",
            "telephone_number": "631-475-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATCHOGUE FIRE DEPT AMBULANCE CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "deactivation_date": "2023-12-28",
        "reactivation_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "ROCCO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "631-872-9084",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "32538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulitha Pasala
• Eva Pashkoff, CASAC
• Patchogue Dental Services PC
• Patchogue Diagnostic Radiology ,PC
• Patchogue Family Medical Care, PC
• Patchogue Medical Group LLP
• Patchogue Medical Services, PC
• Patchogue Open MRI, PC (mainstreet medical imaging)
• Patchogue Pharmacy, Inc (SaluMed Pharmacy Patchogue)
• Patchogue Physical Therapy PC

• Land Ambulance in Patchogue, NY
• Providers in Patchogue, 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 16, 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.