East Brentwood Emergency Medical Services Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

EAST BRENTWOOD EMERGENCY MEDICAL SERVICES INC

Practice address

26 Fulton St
Brentwood, NY 11717-3721

Phone

(631) 273-4560

NPI assigned

Feb 21, 2023

Organization subpart

No

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

Authorized official

Name

Tate Reilly

Title

Chairman

Phone

(631) 873-8205

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1619675410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FULTON ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117173721",
            "telephone_number": "631-273-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 FULTON ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117173721",
            "telephone_number": "631-273-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BRENTWOOD EMERGENCY MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "TATE",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "631-873-8205"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dunderty Enterprise LLC.
• Linda Dupuis Rollock, LMSW
• Christopher S. Durant, M.D.
• Shikha Dusad
• Alyssa Michelle Earl
• Eastern Island Medical Care PC
• Erica Edouard, LPN
• Nneka Pamela Egbuna, LPN
• Uchenna Egbuna
• Timothy Eisemann, RN

• Land Ambulance in Brentwood, NY
• Providers in Brentwood, 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 Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.