Active NPI
Trinity Health of New England Emergency Medical Services, Inc.
- Ambulance
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- TRINITY HEALTH OF NEW ENGLAND EMERGENCY MEDICAL SERVICES, INC.
- Practice address
- 15 W Dover St
Waterbury, CT 06706-1028 - Phone
- (203) 754-3355
- NPI assigned
- Sep 19, 2019
- Last updated
- Oct 22, 2024
- 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
- David Koscuk
- Title
- President
- Phone
- (203) 753-5055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | Primary |
Addresses
Primary practice location
15 W Dover St
Waterbury, CT 06706-1028
Mailing address
15 W Dover St
Waterbury, CT 06706-1028
Phone (203) 753-5055
Other practice location 1
3 Country Club Rd
Cheshire, CT 06410-1631
Phone (203) 427-0652
Other practice location 2
201 Chestnut Hill Rd
Stafford Springs, CT 06076-4005
Phone (203) 754-3179
Other practice location 3
67 Colt Ave
Torrington, CT 06790-6521
Phone (860) 489-7895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200127001100 | CT | Part B Supplier - Ambulance Service Supplier | 9537594262 | Practice locations: Waterbury, CT; Torrington, CT; Stafford Springs, CT; Hartford, CT; Cheshire, CT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2123872 | Trinity Health of New England | Certificate of waiver | Jan 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
1795 Broad St
Hartford, CT 06114
Phone (203) 753-5055
67 Colt Ave
Torrington, CT 06790
Phone (860) 489-7895
1975 S Main St
Waterbury, CT 06706
Phone (203) 753-5055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729555200000",
"number": "1790335834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 W DOVER ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067061028",
"telephone_number": "203-753-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 W DOVER ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067061028",
"telephone_number": "203-754-3355"
}
],
"practiceLocations": [
{
"address_1": "3 Country Club Rd",
"address_purpose": "LOCATION",
"city": "Cheshire",
"state": "CT",
"postal_code": "064101631",
"country_code": "US",
"telephone_number": "203-427-0652",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 Chestnut Hill Rd",
"address_purpose": "LOCATION",
"city": "Stafford Springs",
"state": "CT",
"postal_code": "060764005",
"country_code": "US",
"telephone_number": "203-754-3179",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "67 Colt Ave",
"address_purpose": "LOCATION",
"city": "Torrington",
"state": "CT",
"postal_code": "067906521",
"country_code": "US",
"telephone_number": "860-489-7895",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TRINITY HEALTH OF NEW ENGLAND EMERGENCY MEDICAL SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-19",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A",
"authorized_official_last_name": "KOSCUK",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-753-5055"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.