Aaa Ambulette Service Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

01636319 Issued in NY

Legal business name

AAA AMBULETTE SERVICE INC.

Practice address

122 Verdi St
Farmingdale, NY 11735-6323

Phone

(151) 675-3161

Fax

(151) 675-3030

NPI assigned

Oct 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shawn Patrick Neville

Title

President

Phone

(516) 753-1616

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932284155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 VERDI ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117356323",
            "telephone_number": "151-675-3161",
            "fax_number": "151-675-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 VERDI ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117356323",
            "telephone_number": "151-675-3161",
            "fax_number": "151-675-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA AMBULETTE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEVILLE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "15167531616",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "01636319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01636319",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Non-emergency Medical Transport (VAN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.