Organization Active NPI

Town of Mamaroneck

  • Ambulance
  • Mamaroneck, NY
National Provider Identifier
1285627018
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
10175 Issued in NY
Legal business name
TOWN OF MAMARONECK
Practice address
740 W Boston Post Rd
Mamaroneck, NY 10543-3345
Phone
(914) 381-7838
Fax
(914) 381-7809
NPI assigned
Aug 26, 2005
Last updated
Nov 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Michael A Liverzani
Title
Ambulance District Administrator
Phone
(914) 381-7838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 10175 NY Primary

Addresses

Primary practice location

740 W Boston Post Rd
Mamaroneck, NY 10543-3345

Mailing address

PO Box 26941
New York, NY 10087-6941
Phone (914) 381-7838

Other identifiers 1

IdentifierTypeStateIssuer
01499985MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080815000628 NY Part B Supplier - Ambulance Service Supplier 6305911918 Practice locations: Mamaroneck, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1066318Town of Mamaroneck Ambulance District740 W Boston Post Road, Mamaroneck, NY 10543Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

740 W Boston Post Rd
Mamaroneck, NY 10543
Phone (860) 828-2002

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1285627018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26941",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100876941",
            "telephone_number": "914-381-7838",
            "fax_number": "914-381-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 W BOSTON POST RD",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433345",
            "telephone_number": "914-381-7838",
            "fax_number": "914-381-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF MAMARONECK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "LIVERZANI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AMBULANCE DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "914-381-7838"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01499985",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamaroneck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.