Active NPI
Citywide Mobile Response Corp
- Ambulance
- Bronx, NY
National Provider Identifier
1871597898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 07046
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 997802 | Other | NY | AETNA |
| 01866908 | Medicaid | NY | |
| A907252 | Other | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060923000003 | NY | Part B Supplier - Ambulance Service Supplier | 2264437342 | Practice locations: Bronx, NY |
National Provider Directory
National Provider DirectoryMember 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.