Active NPI
Emergency Ambulance Service, Inc.
- Ambulance
- Bohemia, NY
National Provider Identifier
1568631471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0841
- Legal business name
- EMERGENCY AMBULANCE SERVICE, INC.
- Practice address
- 1580 Ocean Ave
Bohemia, NY 11716-1916 - Phone
- (631) 244-0280
- Fax
- (631) 244-0286
- NPI assigned
- Feb 25, 2008
- Last updated
- Mar 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Martorano
- Title
- Billing Manager
- Phone
- (866) 972-9224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 0841 | NY | Primary |
Addresses
Primary practice location
1580 Ocean Ave
Bohemia, NY 11716-1916
Mailing address
350 Motor Pkwy
Suite 300
Hauppauge, NY 11788-5101
Phone (631) 244-0280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080313000656 | NY | Part B Supplier - Ambulance Service Supplier | 7719062728 | Practice locations: Bohemia, NY |
National Provider Directory
National Provider DirectoryLocations
1600 Locust Ave
Bohemia, NY 11716
Phone (631) 244-0280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206403200000",
"number": "1568631471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 MOTOR PKWY",
"address_2": "SUITE 300",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117885101",
"telephone_number": "631-244-0280",
"fax_number": "631-244-0286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 OCEAN AVE",
"city": "BOHEMIA",
"state": "NY",
"postal_code": "117161916",
"telephone_number": "631-244-0280",
"fax_number": "631-244-0286"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERGENCY AMBULANCE SERVICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-25",
"last_updated": "2008-03-25",
"status": "A",
"authorized_official_last_name": "MARTORANO",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "866-972-9224",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NY",
"license": "0841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bohemia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.