Organization Active NPI

County of Nassau County Comptroller

  • Land Ambulance
  • Mineola, NY
National Provider Identifier
1912009812
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
10090 Issued in NY
Legal business name
COUNTY OF NASSAU COUNTY COMPTROLLER
Doing business as
PDCN Emergency Ambulance
Practice address
1490 Franklin Ave
Mineola, NY 11501-4801
Phone
(516) 573-3161
Fax
(516) 573-3145
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Authorized official

Name
Steve Gerardi
Title
Billing Coordinator
Phone
(516) 573-3161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 10090 NY Primary

Addresses

Primary practice location

1490 Franklin Ave
Mineola, NY 11501-4801

Mailing address

PO Box 416659
Boston, MA 02241-0001
Phone (610) 670-7300

Other identifiers 1

IdentifierTypeStateIssuer
01220153MedicaidNY

Other names 1

  • PDCN Emergency Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100304000028 NY Part B Supplier - Ambulance Service Supplier 6901875319 Practice locations: East Meadow, NY; Mineola, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Nass Cty HLTH Dept Inwood5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1490 Franklin Ave
Mineola, NY 11501
Phone (516) 573-3161

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1912009812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416659",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022410001",
            "telephone_number": "610-670-7300",
            "fax_number": "610-401-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 FRANKLIN AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014801",
            "telephone_number": "516-573-3161",
            "fax_number": "516-573-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF NASSAU COUNTY COMPTROLLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "GERARDI",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "516-573-3161"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "10090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01220153",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PDCN Emergency Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.