Organization Active NPI

Primary Care Ambulance Corp

  • Land Ambulance
  • Staten Island, NY
National Provider Identifier
1427160209
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0676 Issued in NY
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

Updated by the provider on Oct 22, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02338672MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041221000590 NY Part B Supplier - Ambulance Service Supplier 4486612504 Practice locations: Staten Island, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2311362Primary Care Ambulance Corp84 Granite Ave - Suite K, Staten Island, NY 10303Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.