Wyandanch Wheatley Heights Ambulance Corp

Primary specialty

AmbulanceTaxonomy code 341600000X

License

8117 Issued in NY

Legal business name

WYANDANCH WHEATLEY HEIGHTS AMBULANCE CORP

Practice address

295 Merritt Ave
Wyandanch, NY 11798-2330

Phone

(631) 491-3234

Fax

(631) 491-4101

NPI assigned

May 29, 2018

Last updated

May 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary T Gentile

Title

Authorized Official

Phone

(860) 257-7080

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1295226033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290184",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061290184",
            "telephone_number": "860-257-7080",
            "fax_number": "860-563-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 MERRITT AVE",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117982330",
            "telephone_number": "631-491-3234",
            "fax_number": "631-491-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYANDANCH WHEATLEY HEIGHTS AMBULANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "860-257-7080"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "8117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyandanch Pharmacy Inc (Wyandanch Drugs)
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• Wyandanch PT, Family Health NP and Chiropractic PLLC (Wyandanch PTDC)
• Wyandanch School District
• Wyandanch Special Education Dept.
• Louise V Yancey, LPN

• Ambulance in Wyandanch, NY
• Providers in Wyandanch, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.