Organization Active NPI

Bensonhurst Volunteer Ambulance Service Inc

  • Ambulance
  • Brooklyn, NY
National Provider Identifier
1508854050
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
7193 Issued in NY
Legal business name
BENSONHURST VOLUNTEER AMBULANCE SERVICE INC
Practice address
8310 17TH Ave
Brooklyn, NY 11214-2118
Phone
(718) 837-5032
Fax
(718) 331-4744
NPI assigned
Oct 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Ms. Mary Gentile
Title
Authorized Agent
Phone
(800) 452-8191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 7193 NY Primary

Addresses

Primary practice location

8310 17TH Ave
Brooklyn, NY 11214-2118

Mailing address

PO Box 290184
Wethersfield, CT 06129-0184
Phone (800) 452-8191

Other identifiers 2

IdentifierTypeStateIssuer
590008536OtherRAILROAD MEDICARE
01363253MedicaidNY

National Provider Directory

National Provider Directory

Locations

8161 New Utrecht Ave
Brooklyn, NY 11214
Phone (718) 837-5032

8310 17th Ave
Brooklyn, NY 11214
Phone (718) 837-5032

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1508854050",
    "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": "8310 17TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142118",
            "telephone_number": "718-837-5032",
            "fax_number": "718-331-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENSONHURST VOLUNTEER AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "800-452-8191",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "7193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590008536",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01363253",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.