Organization Active NPI

Statewwide Ambulette Ser., Inc.

  • Non-emergency Medical Transport (VAN)
  • Mount Vernon, NY
National Provider Identifier
1891989281
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
30441 Issued in NY
Legal business name
STATEWWIDE AMBULETTE SER., INC.
Practice address
557 N Macquesten Pkwy
Mount Vernon, NY 10552-2666
Phone
(914) 668-8750
Fax
(914) 668-5158
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Mr. Alan Hebel
Title
President
Phone
(914) 668-8750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 30441 NY Primary

Addresses

Primary practice location

557 N Macquesten Pkwy
Mount Vernon, NY 10552-2666

Mailing address

557 N Macquesten Pkwy
Mount Vernon, NY 10552-2666
Phone (914) 668-8750

Other identifiers 1

IdentifierTypeStateIssuer
00916812MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1891989281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 N MACQUESTEN PKWY",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522666",
            "telephone_number": "914-668-8750",
            "fax_number": "914-668-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 N MACQUESTEN PKWY",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522666",
            "telephone_number": "914-668-8750",
            "fax_number": "914-668-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEWWIDE AMBULETTE SER., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "HEBEL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-668-8750",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "30441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00916812",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.