Energy Ambulette

Primary specialty

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

License

DOT 36043 Issued in NY

Legal business name

ENERGY AMBULETTE

Practice address

90 13TH Ave
Unit 4
Ronkonkoma, NY 11779-6818

Phone

(800) 632-2113

Fax

(845) 897-1090

NPI assigned

Oct 4, 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

John Martorano

Title

Billing Supervisor

Phone

(800) 632-2113

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Energy Ambulette2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Energy Ambulette

  • Non-emergency Medical Transport (VAN)
  • Bohemia, NY
  • NPI 1669692109
  NPD tax ID

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932295631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MOTOR PKWY",
            "address_2": "SUITE 404",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885101",
            "telephone_number": "800-632-2113",
            "fax_number": "845-897-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 13TH AVE",
            "address_2": "UNIT 4",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796818",
            "telephone_number": "800-632-2113",
            "fax_number": "845-897-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGY AMBULETTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTORANO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "800-632-2113"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "DOT 36043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02574867",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Edom, RN
• Thomas Michael Ehrlinger
• Jennifer Elliott
• Jacqueline M Emerson
• Maria Empaynado, LMSW
• Heidi Engel, R.N.
• Lori Engelbert, LAC
• Neha Eqbal
• Salvatore Errante Jr., DMD
• Betha Hunnicutt Ertzberger, CPED

• Non-emergency Medical Transport (VAN) in Ronkonkoma, NY
• Providers in Ronkonkoma, 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.