Organization Active NPI

City of Brooklyn Brooklyn City Town Hall

  • Land Ambulance
  • Brooklyn, OH
National Provider Identifier
1720114739
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3416L0300X Issued in OH
Legal business name
CITY OF BROOKLYN BROOKLYN CITY TOWN HALL
Practice address
8400 Memphis Ave
Brooklyn, OH 44144-2156
Phone
(216) 749-1212
Fax
(216) 351-0760
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Mr. Joseph F Zemek
Title
Fire Chief
Phone
(216) 635-4226

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X 3416L0300X OH Primary

Addresses

Primary practice location

8400 Memphis Ave
Brooklyn, OH 44144-2156

Mailing address

PO Box 21727
Cleveland, OH 44121-0727
Phone (440) 605-9117

Other identifiers 3

IdentifierTypeStateIssuer
0939515MedicaidOH
590008421OtherOHRAILROAD MEDICARE
602954700OtherOHU.S. DEPT. OF LABOR

Other names 1

  • City of Brooklyn Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070412000410 OH Part B Supplier - Ambulance Service Supplier 8628173093 Practice locations: Brooklyn, OH

National Provider Directory

National Provider Directory

Locations

8400 Memphis Ave
Cleveland, OH 44144
Phone (216) 635-4226

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1720114739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21727",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441210727",
            "telephone_number": "440-605-9117",
            "fax_number": "440-442-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 MEMPHIS AVE",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441442156",
            "telephone_number": "216-749-1212",
            "fax_number": "216-351-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BROOKLYN BROOKLYN CITY TOWN HALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "ZEMEK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "216-635-4226",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "3416L0300X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0939515",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590008421",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. DEPT. OF LABOR",
            "identifier": "602954700",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Brooklyn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.