Organization Active NPI

Vip Ambulette Inc.

  • Non-emergency Medical Transport (VAN)
  • Spring Valley, NY
National Provider Identifier
1346467453
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
02110534 Issued in NY
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02110534MedicaidNY

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.