Queens Village Hollis Bellerose Volunteer Ambulance Corps Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

7363 Issued in NY

Legal business name

QUEENS VILLAGE HOLLIS BELLEROSE VOLUNTEER AMBULANCE CORPS INC

Practice address

23501 Braddock Ave
Queens Village, NY 11428-1439

Phone

(718) 244-3511

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Mary T Gentile

Title

Authorized Agent

Phone

(800) 452-8191

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1306884887",
    "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": "800-452-8181",
            "fax_number": "860-563-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23501 BRADDOCK AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281439",
            "telephone_number": "718-244-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS VILLAGE HOLLIS BELLEROSE VOLUNTEER AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "800-452-8191",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "7363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00682181",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02859149",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Queens Modern Dental
• Queens Multicare Psychiatric Services, PC
• Queens Parent Resource Center, Inc.
• Queens Rehab Physical Therapy PC
• Queens Village Dental Associates PC
• Queens Village Inc.
• Queens Village Pharmacy Inc.
• Queens Village Primary Medical Care, PLLC
• Queensvillagedentalcare,P.C.
• Carlos Quiles

• Ambulance in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.