Active NPI
County of Nassau County Comptroller
- Land Ambulance
- Mineola, NY
National Provider Identifier
1912009812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 10090
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01220153 | Medicaid | NY |
Other names 1
- PDCN Emergency Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- East Meadow, NY
- NPI 1033276662
6901875319
National Provider Directory
National Provider Directory- Tax ID family
- Nass Cty HLTH Dept Inwood
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- East Meadow, NY
- NPI 1033276662
-
- Early Intervention Provider Agency
- Uniondale, NY
- NPI 1457494114
-
- Developmentally Disabled Services Day Training Agency
- Uniondale, NY
- NPI 1558403824
-
- Case Management Agency
- Uniondale, NY
- NPI 1760500854
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.