Organization Active NPI

Glen Oaks Volunteer Ambulance Corps Inc

  • Land Ambulance
  • Floral Park, NY
National Provider Identifier
1427046895
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
GLEN OAKS VOLUNTEER AMBULANCE CORPS INC
Practice address
25702 Union Tpke
Floral Park, NY 11004-1252
Phone
(718) 347-1637
Fax
(718) 347-7631
NPI assigned
Oct 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
David T Meketansky
Title
Treasurer
Phone
(718) 208-5675

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 7380 NY
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

25702 Union Tpke
Floral Park, NY 11004-1252

Mailing address

25702 Union Tpke
Floral Park, NY 11004-1252
Phone (718) 347-1637

Other identifiers 2

IdentifierTypeStateIssuer
590008130OtherRAILROAD MEDICARE
01446895MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090305000091 NY Part B Supplier - Ambulance Service Supplier 4880750579 Practice locations: Floral Park, NY

National Provider Directory

National Provider Directory

Locations

25702 Union Tpke
Glen Oaks, NY 11004
Phone (718) 347-1637

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1427046895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25702 UNION TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110041252",
            "telephone_number": "718-347-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25702 UNION TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110041252",
            "telephone_number": "718-347-1637",
            "fax_number": "718-347-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN OAKS VOLUNTEER AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "MEKETANSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "718-208-5675"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "7380",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590008130",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01446895",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.