Organization Active NPI

August Ambulette Service, Inc.

  • Non-emergency Medical Transport (VAN)
  • Brooklyn, NY
National Provider Identifier
1639238454
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
B90284 Issued in NY
Legal business name
AUGUST AMBULETTE SERVICE, INC.
Practice address
1379 Utica Ave
Brooklyn, NY 11203-6615
Phone
(718) 451-0001
Fax
(718) 451-1746
NPI assigned
Dec 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Darryl Stephens
Title
President
Phone
(718) 451-0073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X B90284 NY Primary

Addresses

Primary practice location

1379 Utica Ave
Brooklyn, NY 11203-6615

Mailing address

1379 Utica Ave
Brooklyn, NY 11203-6615
Phone (718) 451-0001

Other identifiers 1

IdentifierTypeStateIssuer
00948518MedicaidNY

National Provider Directory

National Provider Directory

Locations

1379 Utica Ave
Brooklyn, NY 11203
Phone (718) 451-0001

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639238454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1379 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112036615",
            "telephone_number": "718-451-0001",
            "fax_number": "718-451-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1379 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112036615",
            "telephone_number": "718-451-0001",
            "fax_number": "718-451-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUST AMBULETTE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-451-0073",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "B90284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00948518",
            "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 Aug 22, 2020; 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.