Organization Active NPI

Inc Village of Sea Cliff

  • Land Ambulance
  • Sea Cliff, NY
National Provider Identifier
1275340390
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Dec 13, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20250106000922 NY Part B Supplier - Ambulance Service Supplier 7911435995 Practice locations: Sea Cliff, NY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.