Active NPI
City of Brooklyn Brooklyn City Town Hall
- Land Ambulance
- Brooklyn, OH
National Provider Identifier
1720114739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3416L0300X
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0939515 | Medicaid | OH | |
| 590008421 | Other | OH | RAILROAD MEDICARE |
| 602954700 | Other | OH | U.S. DEPT. OF LABOR |
Other names 1
- City of Brooklyn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070412000410 | OH | Part B Supplier - Ambulance Service Supplier | 8628173093 | Practice locations: Brooklyn, OH |
National Provider Directory
National Provider DirectoryLocations
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.