Shirley Community Ambulance Corp

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SHIRLEY COMMUNITY AMBULANCE CORP

Practice address

3 Plymouth PL
Shirley, NY 11967-2265

Phone

(631) 399-5380

NPI assigned

Oct 15, 2019

Organization subpart

No

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

Authorized official

Name

James Deutcsh

Title

Chief

Phone

(631) 399-5380

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1922640655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119670072",
            "telephone_number": "631-399-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PLYMOUTH PL",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119672265",
            "telephone_number": "631-399-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY COMMUNITY AMBULANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "DEUTCSH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "631-399-5380"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aniello Scotti, DPM
• Stephanie Sessa, LPN
• Atul Navnitlal Shah, MD
• Embassy Sheffey, LPN
• Shirley Chiropractic Ctr.
• Catherine Regina Silvia, LMSW
• Tina Simeone
• Rahsaan Simmons
• Ryan Simmons, LMSW
• Jeannette Y Simpson

• Land Ambulance in Shirley, NY
• Providers in Shirley, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.