Organization Active NPI

Northeast Quadrant Advanced Life Support Inc

  • Ambulance
  • Webster, NY
National Provider Identifier
1508833385
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
NORTHEAST QUADRANT ADVANCED LIFE SUPPORT INC
Practice address
1030 Jackson Rd
Webster, NY 14580-8705
Phone
(585) 563-1112
Fax
(585) 434-3312
NPI assigned
Mar 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Cihat Tekin
Title
President
Phone
(888) 376-1075

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Land Ambulance 3416L0300X 2783 NY

Addresses

Primary practice location

1030 Jackson Rd
Webster, NY 14580-8705

Mailing address

PO Box 16996
Rochester, NY 14616-0996
Phone (888) 376-1075

Other identifiers 1

IdentifierTypeStateIssuer
PNEQUADNALSOtherNYMONROE PLAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1508833385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16996",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146160996",
            "telephone_number": "888-376-1075",
            "fax_number": "585-434-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 JACKSON RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145808705",
            "telephone_number": "585-563-1112",
            "fax_number": "585-434-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST QUADRANT ADVANCED LIFE SUPPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "TEKIN",
        "authorized_official_first_name": "CIHAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-376-1075"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "2783",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONROE PLAN",
            "identifier": "PNEQUADNALS",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.