Organization Active NPI

The Newtown Ambulance Association Inc

  • Ambulance
  • Newtown, CT
National Provider Identifier
1821135435
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
C097P1 Issued in CT
Legal business name
THE NEWTOWN AMBULANCE ASSOCIATION INC
Practice address
6 Washington Square
Newtown, CT 06470-2130
Phone
(203) 270-4200
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Authorized official

Name
Mrs. Mary T Gentile
Title
Authorized Agent
Phone
(800) 452-8191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X C097P1 CT Primary

Addresses

Primary practice location

6 Washington Square
Newtown, CT 06470-2130

Mailing address

PO Box 290184
Wethersfield, CT 06129-0184
Phone (800) 452-8191

Other identifiers 2

IdentifierTypeStateIssuer
P00621759OtherCTRAILROAD MEDICARE
004271772MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070320000585 CT Part B Supplier - Ambulance Service Supplier 4981707585 Practice locations: Newtown, CT

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
07D0907690Newtown Volunteer Ambulance Association, Inc6 Washington SQ, Newtown, CT 06470Certificate of waiverJul 12, 2028

National Provider Directory

National Provider Directory

Locations

77 Main St
Newtown, CT 06470
Phone (203) 270-4200

6 Washington SQ
Newtown, CT 06470
Phone (203) 270-4200

6 Washington SQ
Newtown, CT 06470
Phone (203) 270-4200

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1821135435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290184",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061290184",
            "telephone_number": "800-452-8191",
            "fax_number": "860-563-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WASHINGTON SQUARE",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702130",
            "telephone_number": "203-270-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEWTOWN AMBULANCE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "800-452-8191",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": "C097P1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00621759",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004271772",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.