Exchange Ambulance Corporation of the Islips

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

EXCHANGE AMBULANCE CORPORATION OF THE ISLIPS

Practice address

190 Carleton Avenue
East Islip, NY 11730

Phone

(631) 581-3151

Fax

(631) 859-3614

NPI assigned

Jan 17, 2020

Organization subpart

No

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

Authorized official

Name

Robert E Stadelman

Title

President

Phone

(631) 581-3151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1568092583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 MAIN STREET",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217455",
            "telephone_number": "716-204-3350",
            "fax_number": "716-247-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CARLETON AVENUE",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "11730",
            "telephone_number": "631-581-3151",
            "fax_number": "631-859-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCHANGE AMBULANCE CORPORATION OF THE ISLIPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "STADELMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-581-3151"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Islip Physical Therapy and Rehabilitation PC
• East Islip School District
• East Main Street Dental PC
• Audrey L. Eisenstadt, MD
• Alyssa Michele Ercolino
• Karen Gail Fagioli, LMSW
• Tzanwei Fang, M.D.
• Michele Loren Farley
• Meghan Farrell, MSED
• Barbara Fee-Olsen, M.A., LA

• Land Ambulance in East Islip, NY
• Providers in East Islip, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.