Corona Community Ambulance Corps, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

7344 Issued in NY

Legal business name

CORONA COMMUNITY AMBULANCE CORPS, INC.

Practice address

10438 47TH Ave
Corona, NY 11368-2821

Phone

(718) 592-7964

Fax

(718) 592-1625

NPI assigned

Oct 10, 2005

Last updated

Jun 23, 2014By 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. Albert Perna

Title

Authorized Agent

Phone

(718) 592-7964

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1467440867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105910519",
            "telephone_number": "914-366-4004",
            "fax_number": "914-366-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10438 47TH AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682821",
            "telephone_number": "718-592-7964",
            "fax_number": "718-592-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA COMMUNITY AMBULANCE CORPS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "PERNA",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "718-592-7964",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "7344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01655150",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1467440867",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Corona Dental Office, PC
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• Ambulance in Corona, NY
• Providers in Corona, 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 23, 2014; 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.