Irondequoit Ambulance Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2749 Issued in NY

Legal business name

IRONDEQUOIT AMBULANCE INC

Practice address

2330 Norton St
Rochester, NY 14609-2726

Phone

(888) 376-1075

Fax

(585) 319-3919

NPI assigned

Feb 28, 2006

Last updated

Aug 22, 2024By 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

Maryellen Jones, B,M

Title

President

Phone

(585) 544-5112

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1982670824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16996",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146160996",
            "telephone_number": "888-376-1075",
            "fax_number": "585-434-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 NORTON ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146092726",
            "telephone_number": "888-376-1075",
            "fax_number": "585-319-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONDEQUOIT AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARYELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-544-5112",
        "authorized_official_credential": "B,M"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "2749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01470337",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammed Anwaruddin Iqbal, PH.D.
• Uzma Iqbal
• Uzma Iqbal, MD
• Elysee Iraganje
• Irie Transportation Associated
• Irondequoit Chiropractic, PLLC (Irondequoit Chiropractic Center)
• Irondequoit General Surgery, LLC
• Irondequoit Internal Medicine
• Irondequoit Pediatrics
• Irondequoit Pediatrics, PLLC

• Land Ambulance in Rochester, NY
• Providers in Rochester, 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 Aug 22, 2024; 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.