Mobile Life Support Services, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

341600000X Issued in NY

Legal business name

MOBILE LIFE SUPPORT SERVICES, INC.

Practice address

3188 Route 9W
New Windsor, NY 12553

Phone

(845) 562-4368

Fax

(845) 565-8019

NPI assigned

Aug 15, 2005

Last updated

Jun 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Gloria Montenogro

Title

Director of Customer Service

Phone

(845) 561-5698

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1669474029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "12551",
            "telephone_number": "845-562-4368",
            "fax_number": "845-565-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3188 ROUTE 9W",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "12553",
            "telephone_number": "845-562-4368",
            "fax_number": "845-565-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE LIFE SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "MONTENOGRO",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "DIRECTOR OF CUSTOMER SERVICE",
        "authorized_official_telephone_number": "845-561-5698",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "341600000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00674584",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keshara Miller
• Morganne Miller, AUD
• Zachary Matthew Miller, PHARM.D.
• Vincent Sabatino Miseo, MD
• Mitchell Cabisudo Physician PC
• Vania Mondesir
• Maxine J Monroe, LMSW
• Montefiore Medical Center
• Montefiore Medical Center
• Montefiore Medical Center

• Ambulance in New Windsor, NY
• Providers in New Windsor, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.