Town of Westport

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF WESTPORT

Doing business as

Town of Westport EMS

Practice address

50 Jesup Rd
Westport, CT 06880-4309

Phone

(203) 341-6056

Fax

(203) 454-6157

NPI assigned

Feb 9, 2006

Organization subpart

No

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

Authorized official

Name

Marc Hartog

Title

Billing Coordinator

Phone

(203) 341-6056

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Town of Westport EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Tax ID family

Town of Westport2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Westport Public Schools

  • Local Education Agency (LEA)
  • Westport, CT
  • NPI 1578721700
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Westport Public Schools

  • Local Education Agency (LEA)
  • Westport, CT
  • NPI 1578721700
  NPPES parent name

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1396718581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 MAIN ST",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162302",
            "telephone_number": "860-638-1800",
            "fax_number": "860-638-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 JESUP RD",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804309",
            "telephone_number": "203-341-6056",
            "fax_number": "203-454-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WESTPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "HARTOG",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "203-341-6056"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "CV0851",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004091906",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "710C158A2CT01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Westport EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Marie Tie, M.D.
• Bernadette Timungwa
• Caren Jo Tishfield, RDN
• Marc Jay Tobin, PH.D.
• Corey G Toby, LCSW
• Tracy a. Livecchi, LCSW, LLC
• Tracy Margolin LMFT LLC
• Triple Point Acupuncture Wellness, PLLC
• Maria Tripodi
• Erika Tsoukanelis, LCSW

• Land Ambulance in Westport, CT
• Providers in Westport, CT by specialty
• Land Ambulance in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.