Organization Active NPI

Northeast Ambulette Inc

  • Non-emergency Medical Transport (VAN)
  • Bohemia, NY
National Provider Identifier
1669612453
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
02877498 Issued in NY
Legal business name
NORTHEAST AMBULETTE INC
Practice address
335 Knickerbocker Ave
Bohemia, NY 11716-3118
Phone
(631) 656-3231
Fax
(631) 656-3208
NPI assigned
Mar 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Mr. Scott J McPhie
Title
Owner / Coo / Ceo
Phone
(631) 656-3231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 02877498 NY Primary

Addresses

Primary practice location

335 Knickerbocker Ave
Bohemia, NY 11716-3118

Mailing address

PO Box 578
Northeast Ambulette Inc
Bohemia, NY 11716-0578
Phone (631) 656-3231

Other identifiers 1

IdentifierTypeStateIssuer
02877498MedicaidNY

National Provider Directory

National Provider Directory

Locations

335 Knickerbocker Ave
Bohemia, NY 11716
Phone (631) 656-3231

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1669612453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "address_2": "NORTHEAST AMBULETTE INC",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117160578",
            "telephone_number": "631-656-3231",
            "fax_number": "631-656-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 KNICKERBOCKER AVE",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117163118",
            "telephone_number": "631-656-3231",
            "fax_number": "631-656-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST AMBULETTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "MCPHIE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER / COO / CEO",
        "authorized_official_telephone_number": "631-656-3231",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "02877498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02877498",
            "state": "NY"
        }
    ],
    "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 Jan 12, 2012; 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.