Active NPI
Vip Ambulette Inc.
- Non-emergency Medical Transport (VAN)
- Spring Valley, NY
National Provider Identifier
1346467453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 02110534
- Legal business name
- VIP AMBULETTE INC.
- Practice address
- 26 N Cole Ave
Spring Valley, NY 10977-4735 - Phone
- (845) 425-3778
- NPI assigned
- Apr 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jean R. Debrard
- Title
- Ceo
- Phone
- (845) 425-3778
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 02110534 | NY | Primary |
Addresses
Primary practice location
26 N Cole Ave
Spring Valley, NY 10977-4735
Mailing address
26 N Cole Ave
Spring Valley, NY 10977-4735
Phone (845) 425-3778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02110534 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1346467453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 N COLE AVE",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109774735",
"telephone_number": "845-425-3778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 N COLE AVE",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109774735",
"telephone_number": "845-425-3778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIP AMBULETTE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DEBRARD",
"authorized_official_first_name": "JEAN",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "845-425-3778"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NY",
"license": "02110534",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02110534",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spring Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.