Organization Active NPI

Seacoast Ambulance LLC

  • Land Ambulance
  • Dover, NH
National Provider Identifier
1497308563
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SEACOAST AMBULANCE LLC
Practice address
69 Venture Dr
Dover, NH 03820-5929
Phone
(561) 542-4233
NPI assigned
Jul 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Authorized official

Name
Justin Lee Petronelli, PARAMEDIC
Title
Manager
Phone
(561) 542-4233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

69 Venture Dr
Dover, NH 03820-5929

Mailing address

1 Nicholas Cir
Dover, NH 03820-6011
Phone (561) 542-4233

National Provider Directory

National Provider Directory

Locations

69 Venture Dr
Dover, NH 03820
Phone (561) 542-4233

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1497308563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NICHOLAS CIR",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038206011",
            "telephone_number": "561-542-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 VENTURE DR",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038205929",
            "telephone_number": "561-542-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOAST AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "PETRONELLI",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-542-4233",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.