Organization Active NPI

Village of Amityville

  • Land Ambulance
  • Amityville, NY
National Provider Identifier
1629778592
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
VILLAGE OF AMITYVILLE
Practice address
21 Ireland PL
Amityville, NY 11701-2902
Phone
(631) 264-1130
NPI assigned
Mar 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
Stephen Juliano
Title
Chief of Ops
Phone
(631) 264-1130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

21 Ireland PL
Amityville, NY 11701-2902

Mailing address

21 Ireland PL
Amityville, NY 11701-2902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230517002159 NY Part B Supplier - Ambulance Service Supplier 7911363916 Practice locations: Amityville, NY

National Provider Directory

National Provider Directory

Locations

55 W Oak St
Amityville, NY 11701
Phone (631) 264-1130

21 Ireland Pl
Amityville, NY 11701
Phone (631) 264-1130

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1629778592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 IRELAND PL",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 IRELAND PL",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012902",
            "telephone_number": "631-264-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF AMITYVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "JULIANO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CHIEF OF OPS",
        "authorized_official_telephone_number": "631-264-1130"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

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