Organization Active NPI

Nassau Ambulance

  • Ambulance
  • Nassau, NY
National Provider Identifier
1700066479
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
10786 Issued in NY
Legal business name
NASSAU AMBULANCE
Practice address
498 McClellan Dr
Nassau, NY 12123-3930
Phone
(888) 603-2455
Fax
(518) 391-2601
NPI assigned
Nov 9, 2007
Last updated
Feb 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Authorized official

Name
Mr. Robert W Valenty
Title
Board Member
Phone
(888) 603-2455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 10786 NY Primary

Addresses

Primary practice location

498 McClellan Dr
Nassau, NY 12123-3930

Mailing address

PO Box 787
Latham, NY 12110-0787
Phone (888) 603-2455

Other identifiers 1

IdentifierTypeStateIssuer
02966003MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080104000544 NY Part B Supplier - Ambulance Service Supplier 6608956545 Practice locations: Nassau, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2009752Nassau Ambulance Inc498 McClellan Road, Nassau, NY 12123Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1700066479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121100787",
            "telephone_number": "888-603-2455",
            "fax_number": "518-391-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 MCCLELLAN DR",
            "city": "NASSAU",
            "state": "NY",
            "postal_code": "121233930",
            "telephone_number": "888-603-2455",
            "fax_number": "518-391-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAU AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "VALENTY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "888-603-2455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02966003",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nassau, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.