New York Hospital Queens Ambulance

Organization Active NPI Land Ambulance · Flushing, NY

NPI 1295857092 · NPPES record last updated May 11, 2011

Key facts

NPI
1295857092
Entity type
Organization (NPI type 2)
Primary specialty
Land Ambulance 3416L0300X
License
7003010HPF11637 (NY)
Legal business name
NEW YORK HOSPITAL QUEENS AMBULANCE
Practice address
5645 Main St
Flushing, NY 11355-5045
Phone
(718) 670-1231
Fax
(718) 661-7942
NPI assigned
Apr 4, 2007
Organization subpart
No

Authorized official

Name
Mr. Kevin J. Ward
Title
Senior Vice President-Cfo
Phone
(718) 670-1476

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 49

Organizations that report the same tax identification number in the National Provider Directory.

View all 49

Affiliated clinicians 701

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 701

Medicare Care Compare: Hospital

Listed as
New York-Presbyterian/Queens CCN 330055
Overall star rating
★★★★★ 5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Hospital certification: CCN 330055

Legal name
NEWYORK-PRESBYTERIAN-QUEENS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 18, 2025
Beds
535
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
May 22, 1973 in NY
Enrollment address
56-45 Main St
Flushing, NY 11355-5045
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joseph Ficalora
Individual
Corporate Director
Board Member
Apr 1, 2010
Kanak Golia
Individual
Corporate Director
Board Member
Jan 1, 2017
William J Farrell
Individual
Corporate Officer
Senior Vice President, Finance,
Jan 1, 2018
Pavlos L Mavrides
Individual
Corporate Director
Board of Directors
Jan 1, 2017
Nyp Community Programs Inc
Organization · New York, NY
Created for acquisition, Corporation, Holding company, Non-profit
Other Jul 1, 2015
Michael Breslin
Individual
Corporate Director Jul 1, 2022
W-2 Managing Employee
Chief Financial Officer
Jul 1, 2022
Veronica Tsang
Individual
Corporate Director May 17, 2021
The New York and Presbyterian Hospital
Organization · New York, NY
Corporation, Non-profit
Other Jul 1, 2015
Michael Mattone
Individual
Corporate Director Feb 19, 2019
Purvi D Shah
Individual
Corporate Director
Board Director
Dec 1, 2025
Michael Meyer
Individual
Corporate Director
Board Member
Jan 1, 2017
Arthur Dawson
Individual
Corporate Director
Board Member
Jul 14, 1998
Wen-Hui Chiang
Individual
Corporate Director
Board Member
Dec 1, 2004
Lauren McManemin
Individual
W-2 Managing Employee
Vendor Management Director
Apr 1, 2018

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20110325000014 NY Part a Provider - Hospital 7315839933 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jamaica, NY; Jackson Heights, NY; Fresh Meadows, NY; Flushing, NY

National Provider Directory

Tax ID family
Nyhmc Hollis Women'S Ctr (50 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 7003010HPF11637 NY Yes

Addresses

Primary practice location

5645 Main St
Flushing, NY 11355-5045

Mailing address

PO Box 535
Baldwinsville, NY 13027-0535
Phone (800) 927-5845

Other identifiers

IdentifierTypeStateIssuer
00244133MedicaidNY

Other providers in Flushing, NY

All providers in Flushing, NY · Land Ambulance in New York

Sources for this page

Verify at the official NPI Registry.