Organization Active NPI

Citywide Mobile Response Corp

  • Ambulance
  • Bronx, NY
National Provider Identifier
1871597898
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
07046 Issued in NY
Legal business name
CITYWIDE MOBILE RESPONSE CORP
Practice address
1624 Stillwell Ave
Bronx, NY 10461-2214
Phone
(718) 829-1661
Fax
(718) 828-4850
NPI assigned
Jun 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Authorized official

Name
Marianna Ortiz
Title
Managing Director
Phone
(718) 829-1661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 07046 NY Primary

Addresses

Primary practice location

1624 Stillwell Ave
Bronx, NY 10461-2214

Mailing address

1624 Stillwell Ave
Bronx, NY 10461-2214
Phone (718) 829-1661

Other identifiers 3

IdentifierTypeStateIssuer
997802OtherNYAETNA
01866908MedicaidNY
A907252OtherOXFORD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060923000003 NY Part B Supplier - Ambulance Service Supplier 2264437342 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1871597898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 STILLWELL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612214",
            "telephone_number": "718-829-1661",
            "fax_number": "718-828-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 STILLWELL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612214",
            "telephone_number": "718-829-1661",
            "fax_number": "718-828-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYWIDE MOBILE RESPONSE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "MARIANNA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "718-829-1661"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "07046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "997802",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01866908",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A907252",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.