Active NPI
Inc Village of Sea Cliff
- Land Ambulance
- Sea Cliff, NY
National Provider Identifier
1275340390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- INC VILLAGE OF SEA CLIFF
- Practice address
- 67 Roslyn Ave
Sea Cliff, NY 11579-1263 - Phone
- (516) 671-0080
- NPI assigned
- Dec 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Beaudin
- Title
- Village Clerk
- Phone
- (516) 671-0080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
67 Roslyn Ave
Sea Cliff, NY 11579-1263
Mailing address
300 Sea Cliff Ave
Sea Cliff, NY 11579-1211
Phone (516) 671-0080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250106000922 | NY | Part B Supplier - Ambulance Service Supplier | 7911435995 | Practice locations: Sea Cliff, NY |
National Provider Directory
National Provider DirectoryLocations
300 Sea Cliff Ave
Sea Cliff, NY 11579
67 Roslyn Ave
Sea Cliff, NY 11579
Phone (516) 671-0080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734048000000",
"number": "1275340390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SEA CLIFF AVE",
"city": "SEA CLIFF",
"state": "NY",
"postal_code": "115791211",
"telephone_number": "516-671-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 ROSLYN AVE",
"city": "SEA CLIFF",
"state": "NY",
"postal_code": "115791263",
"telephone_number": "516-671-0080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INC VILLAGE OF SEA CLIFF",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-12",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A",
"authorized_official_last_name": "BEAUDIN",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "VILLAGE CLERK",
"authorized_official_telephone_number": "516-671-0080"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sea Cliff, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.