Energy Ambulette

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

36043 Issued in NY

Legal business name

ENERGY AMBULETTE

Practice address

1580 Ocean Ave
Bohemia, NY 11716-1916

Phone

(631) 467-0900

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

John Martorano

Title

Billing Supervisor

Phone

(866) 972-9224

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Energy Ambulette2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Energy Ambulette

  • Non-emergency Medical Transport (VAN)
  • Ronkonkoma, NY
  • NPI 1932295631
  NPD tax ID

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669692109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 ROUTE 9",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 OCEAN AVE",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117161916",
            "telephone_number": "631-467-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGY AMBULETTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTORANO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "866-972-9224"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "36043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02574867",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eric C Eng, PHARMD
• Envision Integrative Services
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• Kristine Ann Faragasso, MS CCC-SLP

• Non-emergency Medical Transport (VAN) in Bohemia, NY
• Providers in Bohemia, NY by specialty
• Non-emergency Medical Transport (VAN) in New York

• 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.