Community Ambulance Company, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COMMUNITY AMBULANCE COMPANY, INC.

Practice address

420 Lakeland Ave
Sayville, NY 11782-1906

Phone

(631) 921-9403

NPI assigned

Apr 13, 2022

Last updated

Apr 13, 2022By 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

Marc Macdonell

Title

Treasurer

Phone

(631) 921-9403

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": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1942942461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117820450",
            "telephone_number": "631-921-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LAKELAND AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821906",
            "telephone_number": "631-921-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY AMBULANCE COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "MACDONELL",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "631-921-9403"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Clark
• Jane Clarry, RN
• Valerie Nicole Coffaro
• Ryan Coffey
• Colonial Transportation
• Brian Connor
• John Constantinidis
• Nicole L Coogan, LCSW
• Cort Chedwin Kennedy MD PLLC
• Lucille Crennan

• Land Ambulance in Sayville, NY
• Providers in Sayville, 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 Apr 13, 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.