Jamaica Estates Holliswood South Bayside Volunteer Ambulance Corp

Primary specialty

AmbulanceTaxonomy code 341600000X

License

7381 Issued in NY

Legal business name

JAMAICA ESTATES HOLLISWOOD SOUTH BAYSIDE VOLUNTEER AMBULANCE CORP

Practice address

207 07 Union Turnpike
Bayside, NY 11364-3234

Phone

(718) 464-0592

Fax

(917) 644-1924

NPI assigned

Oct 26, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Mary T Gentile

Title

Authorized Agent

Phone

(860) 257-9201

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1386634848",
    "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": "860-257-9201",
            "fax_number": "860-721-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 07 UNION TURNPIKE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113643234",
            "telephone_number": "718-464-0592",
            "fax_number": "917-644-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAICA ESTATES HOLLISWOOD SOUTH BAYSIDE VOLUNTEER AMBULANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2009-02-06",
        "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": "860-257-9201",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "7381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01478459",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1386634848",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helene Marcia Jacobson, MSED
• Salome Jacques
• Jaeil Acupuncture PC
• Gholamreza Jahanara, DR PHYSICALTHERAPY
• Jae H Jahng, D.D.S.
• Rahisa Jamal
• James a Rand MD LLC
• Jenove James, OTR/L
• Sabrina James
• Valerie James

• Ambulance in Bayside, NY
• Providers in Bayside, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.