Maude Ambulance Co LLC

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Legal business name

MAUDE AMBULANCE CO LLC

Practice address

20407 119TH Ave
Saint Albans, NY 11412-3558

Phone

(191) 725-7360

NPI assigned

Jul 12, 2023

Organization subpart

No

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

Authorized official

Name

Semone Mellessa Lewis-Gray

Title

Owner

Phone

(917) 257-3600

Specialties & licenses 1

Addresses

Other names 1

• Maude Ambulance Co LLC Doing business as

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1891474425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20407 119TH AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123558",
            "telephone_number": "191-725-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20407 119TH AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123558",
            "telephone_number": "191-725-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUDE AMBULANCE CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "LEWIS-GRAY",
        "authorized_official_first_name": "SEMONE",
        "authorized_official_middle_name": "MELLESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-257-3600"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maude Ambulance Co LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rohini Ananda Maragh, NMD
• Amber Marie, LMSW
• Erika Marsh, RN
• Keayna Martin
• Seena Kuriakose Mathew, M S OTR L
• Joyce Silvia Mazaras, OTR/L
• Erica McCullough
• Antonette McCurdy, FNP
• Keisha McDonald
• Shanice McDonald

• Transportation Broker in Saint Albans, NY
• Providers in Saint Albans, NY by specialty
• Transportation Broker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.