Active NPI
North Shore Rescue Squad No. 1, Inc.
- Ambulance
- Staten Island, NY
National Provider Identifier
1871583336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 7413
- Legal business name
- NORTH SHORE RESCUE SQUAD NO. 1, INC.
- Practice address
- 460 Brielle Ave
Staten Island, NY 10314-6427 - Phone
- (718) 490-5528
- NPI assigned
- Oct 26, 2005
- 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
- Frances McCarthy
- Title
- Treasurer
- Phone
- (718) 490-5528
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 7413 | NY | Primary |
Addresses
Primary practice location
460 Brielle Ave
Staten Island, NY 10314-6427
Mailing address
460 Brielle Ave
Staten Island, NY 10314-6427
Phone (718) 490-5528
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01536290 | Medicaid | NY | |
| 1871583336 | Other | NY | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081103000244 | NY | Part B Supplier - Ambulance Service Supplier | 1951460138 | Practice locations: Staten Island, NY |
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 |
|---|---|---|---|
| 33D2327028 | North Shore Rescue Squad No 1 | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
228 Granite Ave
Staten Island, NY 10303
Phone (718) 720-4380
56 Willow Rd W
Staten Island, NY 10303
Phone (718) 720-4380
1322 Travis Ave
Staten Island, NY 10314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692057600000",
"number": "1871583336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 BRIELLE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146427",
"telephone_number": "718-490-5528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 BRIELLE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146427",
"telephone_number": "718-490-5528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH SHORE RESCUE SQUAD NO. 1, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-26",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A",
"authorized_official_last_name": "MCCARTHY",
"authorized_official_first_name": "FRANCES",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "718-490-5528"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NY",
"license": "7413",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01536290",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "1871583336",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
- North Shore Hematology/Oncology Associates PC
- North Shore Long Island Jewish Healthcare Inc.
- North Shore Physical Therapy of Si, PC
- North Shore PT of Ny PC
- North Shore PT of Ny PC
- Dorothy Marie North, MS
- Northeast Insomnia and Sleep Medicine,PLLC
- Janet E Norton, M.D.,FACS
- Stacy Nicole Jude Norton, RN
- Esohe Noruwa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.