Mastic Beach Ambulance Company Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MASTIC BEACH AMBULANCE COMPANY INC

Practice address

343 Main St
Mastic Beach, NY 11951-3415

Phone

(631) 831-9838

NPI assigned

Oct 14, 2019

Organization subpart

No

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

Authorized official

Name

Edward Merchant

Title

Chief

Phone

(631) 831-9838

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1407498264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 523",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119510523",
            "telephone_number": "631-831-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 MAIN ST",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119513415",
            "telephone_number": "631-831-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTIC BEACH AMBULANCE COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "MERCHANT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "631-831-9838"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Manzitto
• June Lazaro Mariscotes
• Andreza Martinta, RN
• Patricia Mary Marx, LPN
• Jennifer Mas
• Liana Crystal Matzen, LPN
• Linda McAuliff, R.N.
• Claire McCarthy, RN
• Carolyn McCloskey, REGISTERED NURSE
• Jennifer McCloskey

• Land Ambulance in Mastic Beach, NY
• Providers in Mastic Beach, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.