Northeast Regional Ambulance Service, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3988 Issued in MA

Legal business name

NORTHEAST REGIONAL AMBULANCE SERVICE, INC.

Practice address

3 Ajootian Way
Unit D-2
Middleton, MA 01949-2490

Phone

(978) 777-5813

Fax

(978) 777-5902

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brian P. Caponigro

Title

President

Phone

(978) 777-5813

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1700801222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 AJOOTIAN WAY",
            "address_2": "UNIT D-2",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019492490",
            "telephone_number": "978-777-5813",
            "fax_number": "978-777-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 AJOOTIAN WAY",
            "address_2": "UNIT D-2",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019492490",
            "telephone_number": "978-777-5813",
            "fax_number": "978-777-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST REGIONAL AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "CAPONIGRO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-777-5813",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Middleton, MA
• Providers in Middleton, MA by specialty
• Land Ambulance in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.