Organization Active NPI

Park Ambulance Service Inc

  • Ambulance
  • Brooklyn, NY
National Provider Identifier
1790735330
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
PARK AMBULANCE SERVICE INC
Practice address
930 Flushing Ave
Brooklyn, NY 11206-4600
Phone
(718) 571-6565
Fax
(718) 571-6511
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Authorized official

Name
Edward Van Horne
Title
President
Phone
(303) 495-1220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

930 Flushing Ave
Brooklyn, NY 11206-4600

Mailing address

PO Box 100296
Atlanta, GA 30384-0296

Other identifiers 3

IdentifierTypeStateIssuer
900230903OtherNYAMERICHOICE VENDOR ID
01864722MedicaidNY
104809700OtherNYUS DOL - FECA

Other names 1

  • American Medical Response Doing business as

National Provider Directory

National Provider Directory

Locations

930 Flushing Ave
Brooklyn, NY 11206
Phone (718) 571-6530

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1790735330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100296",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 FLUSHING AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064600",
            "telephone_number": "718-571-6565",
            "fax_number": "718-571-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "VAN HORNE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-495-1220"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE VENDOR ID",
            "identifier": "900230903",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01864722",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DOL - FECA",
            "identifier": "104809700",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Medical Response",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.