Organization Active NPI

Bravo Volunteer Ambulance Service Inc

  • Land Ambulance
  • Brooklyn, NY
National Provider Identifier
1790476729
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
BRAVO VOLUNTEER AMBULANCE SERVICE INC
Practice address
8507 7TH Ave
Brooklyn, NY 11228-3210
Phone
(718) 680-1111
NPI assigned
May 19, 2023
Last updated
Jul 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Jory Guttsman
Title
Director
Phone
(718) 680-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

8507 7TH Ave
Brooklyn, NY 11228-3210

Mailing address

8507 7TH Ave
Brooklyn, NY 11228-3210

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230821002524 NY Part B Supplier - Ambulance Service Supplier 9234591330 Practice locations: Brooklyn, 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
33D2169521Bravo Volunteer Ambulance Service Inc8507 7TH Ave, Brooklyn, NY 11228Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

8507 7th Ave
Brooklyn, NY 11228
Phone (718) 233-7768

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1790476729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8507 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8507 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283210",
            "telephone_number": "718-680-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO VOLUNTEER AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "GUTTSMAN",
        "authorized_official_first_name": "JORY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-680-1111"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.