Bedford Stuyvesant Vol Amb

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

7143 Issued in NY

Legal business name

BEDFORD STUYVESANT VOL AMB

Practice address

561 Lexington Ave
Brooklyn, NY 11221-1807

Phone

(718) 453-4617

Fax

(718) 562-7316

NPI assigned

Oct 11, 2005

Last updated

Aug 22, 2020By 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

Ms. Heather M Lizotte

Title

Authorized Agent

Phone

(800) 452-8191

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Bedford Stuyvesant Vol Amb2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bedford Stuyvesant Volunteer Ambulance Corps

  • Land Ambulance
  • Brooklyn, NY
  • NPI 1144279126
  NPD tax ID

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467440834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290184",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061290184",
            "telephone_number": "800-452-8191",
            "fax_number": "860-721-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 LEXINGTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112211807",
            "telephone_number": "718-453-4617",
            "fax_number": "718-562-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD STUYVESANT VOL AMB",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIZOTTE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "800-452-8191",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "7143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01171879",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bedford Stuy Emergency Physicians
• Bedford Stuyvesant Fam HLTH Ctr Inc (Monica M Sweeney MD)
• Bedford Stuyvesant Family Health Center
• Bedford Stuyvesant Family Health Center, Inc.
• Bedford Stuyvesant Family Health Center, Inc. (Sterling Family Health and Wellness Center)
• Bedford Stuyvesant Volunteer Ambulance Corps
• Lynette Linda Bedford, FNP
• Sean Bedford, LMHC
• Puneet Bedi, M.D.
• Sadie Z Bedik-Bloom

• Land Ambulance in Brooklyn, NY
• Providers in Brooklyn, 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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.