BAY SHORE BRIGHTWATERS RESCUE AMBULANCE INC.
NPI 1003460890
Ambulance - Land Transport in Bay Shore, NY

Q: What is Bay Shore Brightwaters Rescue Ambulance Inc.'s specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Active since July 30, 2019CLIA 33D2293548 · Waiver

911 ALETTA PLACE, BAY SHORE, NY 11706(631) 666-5600(631) 969-0169 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 22, 2023, Dec 29, 2022, Jul 30, 2019 (3 updates tracked since 2019).

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About Bay Shore Brightwaters Rescue Ambulance Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAY SHORE BRIGHTWATERS RESCUE AMBULANCE INC. (NPI 1003460890) is a healthcare organization registered as a land transport in Bay Shore, New York and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists James Hoffman, Vice President, as its authorized official.

NPPES Registry Identity

NPI1003460890

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameBAY SHORE BRIGHTWATERS RESCUE AMBULANCE INC.

Location Address911 ALETTA PLACEBay Shore, NY 11706

Mailing AddressPo Box 4110, Dept 8030Woburn, MA 01888-4110 · (914) 366-4004

Phone(631) 666-5600

Fax(631) 969-0169

Organization SubpartNo

Authorized OfficialJames HoffmanVice President · (631) 566-5600

Enumeration DateJuly 30, 2019

Last NPPES UpdateFebruary 22, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2023

✔ NPI 1003460890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services

Taxonomy Code3416L0300X

911 ALETTA PLACE, Bay Shore, NY 11706

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Other Identifiers 1

Medicaid05987802NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2293548

Bay Shore-Brightwaters Rescue Ambulance Inc · Bay Shore, NY

Active · expires Mar 26, 2027

CLIA Number33D2293548

Laboratory TypeAmbulance

Certificate Effective DateNovember 10, 2023

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Christopher Guszack

Laboratory Phone(631) 666-5600

Laboratory LocationBay Shore-Brightwaters Rescue Ambulance Inc911 Aletta Place, Bay Shore, NY 11706

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425

Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.

2,534 services647 patients

Ambulance service, basic life support, emergency transport (bls-emergency) A0429

Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.

934 services552 patients

Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427

Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.

157 services141 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bay Shore Brightwaters Rescue Ambulance Inc.'s NPI number?

The NPI number for Bay Shore Brightwaters Rescue Ambulance Inc. is 1003460890. It was assigned to this organization in the NPPES registry on July 30, 2019.

Where is Bay Shore Brightwaters Rescue Ambulance Inc. located?

Bay Shore Brightwaters Rescue Ambulance Inc. is located at 911 Aletta Place, Bay Shore, NY 11706. The listed phone number is (631) 666-5600.

What is Bay Shore Brightwaters Rescue Ambulance Inc.'s specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Bay Shore Brightwaters Rescue Ambulance Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2293548) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bay Shore Brightwaters Rescue Ambulance Inc. was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.