Organization Active NPI

City of Everett

  • Land Ambulance
  • Everett, MA
National Provider Identifier
1265207609
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF EVERETT
Practice address
54 Hancock St
Everett, MA 02149-2836
Phone
(617) 394-2349
NPI assigned
Nov 15, 2023
Last updated
Nov 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Mr. Sabato Anthony Lorusso
Title
Fire Chief
Phone
(617) 394-2348

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

54 Hancock St
Everett, MA 02149-2836

Mailing address

384 Broadway
Everett, MA 02149-3427
Phone (617) 394-2349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231227000511 MA Part B Supplier - Ambulance Service Supplier 0941228563 Practice locations: Everett, MA

National Provider Directory

National Provider Directory
Tax ID family
City of Everett2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

384 Broadway
Everett, MA 02149

54 Hancock St
Everett, MA 02149
Phone (617) 394-2349

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1265207609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493427",
            "telephone_number": "617-394-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HANCOCK ST",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021492836",
            "telephone_number": "617-394-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF EVERETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "LORUSSO",
        "authorized_official_first_name": "SABATO",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "617-394-2348",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.