Organization Active NPI

Richmond County Ambulance Service, Inc

  • Land Ambulance
  • Staten Island, NY
National Provider Identifier
1679550982
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
09966 Issued in NY
Legal business name
RICHMOND COUNTY AMBULANCE SERVICE, INC
Practice address
1355 Castleton Ave
Staten Island, NY 10310-1704
Phone
(718) 273-7703
Fax
(718) 273-7479
NPI assigned
Dec 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Authorized official

Name
Mr. Eliezer C Gewirtzman
Title
Ceo
Phone
(718) 273-7703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 09966 NY Primary

Addresses

Primary practice location

1355 Castleton Ave
Staten Island, NY 10310-1704

Mailing address

1355 Castleton Ave
Staten Island, NY 10310-1704
Phone (718) 273-7703

Other identifiers 1

IdentifierTypeStateIssuer
01020777MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080505000111 NY Part B Supplier - Ambulance Service Supplier 6507945417 Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory
Tax ID family
Richmond County Ambulance Service Inc2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1679550982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 CASTLETON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101704",
            "telephone_number": "718-273-7703",
            "fax_number": "718-273-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 CASTLETON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101704",
            "telephone_number": "718-273-7703",
            "fax_number": "718-273-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND COUNTY AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "GEWIRTZMAN",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-273-7703",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "09966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01020777",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.