Organization Active NPI

Hampton Bays Volunteer Ambulance Corps

  • Land Ambulance
  • Hampton Bays, NY
National Provider Identifier
1285489716
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
HAMPTON BAYS VOLUNTEER AMBULANCE CORPS
Practice address
18C Ponquogue Ave
Hampton Bays, NY 11946-1806
Phone
(631) 728-1222
NPI assigned
Apr 18, 2024
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Frank Luccarelli
Title
Treasurer
Phone
(631) 728-1222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

18C Ponquogue Ave
Hampton Bays, NY 11946-1806

Mailing address

18C Ponquogue Ave
Hampton Bays, NY 11946-1806
Phone (631) 728-1222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240530000538 NY Part B Supplier - Ambulance Service Supplier 1052753464 Practice locations: Hampton Bays, NY

National Provider Directory

National Provider Directory

Locations

18C Ponquogue Ave
Hampton Bays, NY 11946
Phone (631) 728-1222

NPI Registry JSON

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1285489716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18C PONQUOGUE AVE",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119461806",
            "telephone_number": "631-728-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18C PONQUOGUE AVE",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119461806",
            "telephone_number": "631-728-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON BAYS VOLUNTEER AMBULANCE CORPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "LUCCARELLI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "631-728-1222"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton Bays, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.