Little Neck-Douglaston Community Ambulance Corp Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

7354 Issued in NY

Legal business name

LITTLE NECK-DOUGLASTON COMMUNITY AMBULANCE CORP INC

Practice address

4218 Marathon Pkwy
Little Neck, NY 11363-1935

Phone

(718) 229-0400

NPI assigned

Nov 1, 2005

Last updated

Mar 9, 2009By 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. Mary T Gentile

Title

Authorized Agent

Phone

(860) 257-9201

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ernest Lu

  • Basic Emergency Medical Technician
  • Little Neck, NY
  • NPI 1881214278
  NPD (past)

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1487645222",
    "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": "860-257-9201",
            "fax_number": "860-721-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 MARATHON PKWY",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113631935",
            "telephone_number": "718-229-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE NECK-DOUGLASTON COMMUNITY AMBULANCE CORP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "860-257-9201",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "7354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1487645222",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01487952",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Little Neck Drug Store Inc
• Little Neck Eyecare Center LLC (Little Neck Optical)
• Little Neck Nursing Home
• Little Neck RX Corp (Pharmaconic)
• Little Neck RX Corp (Pharmaconic)
• Min Liu
• Pui Chee Wong Liu, DDS
• LN Foot Care, P.C.
• Long Island Craniofacial Care PC
• Ellen Halkett Lourie, LCSW

• Ambulance in Little Neck, NY
• Providers in Little Neck, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.