Active NPI
Primary Care Ambulance Corp
- Land Ambulance
- Staten Island, NY
National Provider Identifier
1427160209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0676
- Legal business name
- PRIMARY CARE AMBULANCE CORP
- Practice address
- 84 Granite Ave Ste K
Staten Island, NY 10303-2745 - Phone
- (718) 975-0600
- Fax
- (718) 266-4343
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul Lebowitz
- Title
- Owner
- Phone
- (917) 337-5883
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0676 | NY | Primary |
Addresses
Primary practice location
84 Granite Ave Ste K
Staten Island, NY 10303-2745
Mailing address
237 Woodward Ave
Staten Island, NY 10314-4236
Phone (718) 975-0600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02338672 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041221000590 | NY | Part B Supplier - Ambulance Service Supplier | 4486612504 | Practice locations: Staten Island, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2311362 | Primary Care Ambulance Corp | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
402 Brielle Ave
Staten Island, NY 10314
Phone (718) 351-7012
2699 Richmond Ter
Staten Island, NY 10303
Phone (718) 975-0600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761091200000",
"number": "1427160209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 WOODWARD AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103144236",
"telephone_number": "718-975-0600",
"fax_number": "718-266-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 GRANITE AVE STE K",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103032745",
"telephone_number": "718-975-0600",
"fax_number": "718-266-4343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE AMBULANCE CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A",
"authorized_official_last_name": "LEBOWITZ",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-337-5883",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NY",
"license": "0676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02338672",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
- Mitchell R Price, MD
- Leah Denise Pride, M.S.ED
- Myron Priester, CASAC-T
- Carolina Bertha Prieto, M.S, E.D
- Primary Cardiology PC
- Primary Care NP in Family Health and Adult Health of New York PLLC (Primary Care Nurse Practitioners of New York)
- Primary Zone Acupuncture PLLC
- Primecare Medical Service PC
- Jennifer Primiani, LMSW
- Prince Bay Pharmacy (Princes Bay Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.