Malta Ambulance Corps Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

10377 Issued in NY

Legal business name

MALTA AMBULANCE CORPS INC

Practice address

2449 State Route 9
Malta, NY 12020-4407

Phone

(518) 899-2100

NPI assigned

Mar 22, 2006

Last updated

Jun 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Greenfield

Title

President

Phone

(518) 899-2100

Specialties & licenses 1

Addresses

Other identifiers 5

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": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1467411827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130270535",
            "telephone_number": "315-635-1789",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 STATE ROUTE 9",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204407",
            "telephone_number": "518-899-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALTA AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "GREENFIELD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-899-2100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10016471",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590009930",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "701021",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01728692",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9602095",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie L Locke, PMHNP
• Lisa Sheri Long, M.S. CCC-SLP
• Lorraine del Rosso Chiropractic,Dietetics,and Nutrition,PLLC
• Nicholas William Lotano Sr., RPH
• Janis Lumley, PT
• Maltavista Optometry, PLLC (Maltavista Optometry & Orthokeratology)
• Evan Joseph Marsh, PT, DPT
• William Marszalek, LMFT
• Sue E Martin, RPH
• Mary Lynn Massonne, MS APRN FNP BC

• Ambulance in Malta, NY
• Providers in Malta, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.