Godfrey Ambulette Service, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

B90384 Issued in NY

Legal business name

GODFREY AMBULETTE SERVICE, INC.

Practice address

466 Morningstar Rd
Staten Island, NY 10303-2837

Phone

(718) 651-0055

Fax

(718) 507-1617

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Rafi Gavrielov

Title

President

Phone

(718) 651-0055

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1326237207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 MORNINGSTAR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032837",
            "telephone_number": "718-651-0055",
            "fax_number": "718-507-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 MORNINGSTAR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032837",
            "telephone_number": "718-651-0055",
            "fax_number": "718-507-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODFREY AMBULETTE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "GAVRIELOV",
        "authorized_official_first_name": "RAFI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-651-0055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "B90384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01018331",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.