JAMAICA ESTATES HOLLISWOOD SOUTH BAYSIDE VOLUNTEER AMBULANCE CORP
NPI 1386634848
Ambulance in Bayside, NY

Active since October 26, 2005CLIA 33D2140513 · Waiver
207 07 UNION TURNPIKE, BAYSIDE, NY 11364(718) 464-0592(917) 644-1924 Get Directions Write a Review

NPPES record last updated: February 6, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Ambulance
  • CLIA Number: 33D2140513
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 03-26-2027

About JAMAICA ESTATES HOLLISWOOD SOUTH BAYSIDE VOLUNTEER AMBULANCE CORP

This page provides the complete NPI Profile along with additional information for Jamaica Estates Holliswood South Bayside Volunteer Ambulance Corp, a provider established in Bayside, New York operating as a Ambulance. The healthcare provider is registered in the NPI registry with number 1386634848 assigned on October 2005. The practitioner's primary taxonomy code is 341600000X with license number 7381 (NY). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Ms. Mary T Gentile (Authorized Agent)

NPI
1386634848 Verify this NPI
Provider Name
JAMAICA ESTATES HOLLISWOOD SOUTH BAYSIDE VOLUNTEER AMBULANCE CORP
Entity Type
Organization
Location Address
207 07 UNION TURNPIKE BAYSIDE, NY 11364
Location Phone
(718) 464-0592
Location Fax
(917) 644-1924
Mailing Address
PO BOX 290184 WETHERSFIELD, CT 06129
Mailing Phone
(860) 257-9201
Mailing Fax
(860) 721-6362
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-26-2005
Last Update Date
02-06-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ambulance

Taxonomy Code
341600000X
Type
Transportation Services
License No.
7381
License State
NY
Taxonomy Description
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. MARY T GENTILE

Authorized Official Title
AUTHORIZED AGENT
Authorized Official Phone
(860) 257-9201

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1386634848OTHER (01)NYRAILROAD MEDICARE
01206MEDICARE PIN (08)NY 
01478459MEDICAID (05)NY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2140513
Facility Type
Ambulance
Certificate Effective Date
November 22, 2017
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. JEFFREY E. HOROWITZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Jamaica Estates Holliswood South Bayside Volunteer Ambulance Corp to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for JAMAICA ESTATES HOLLISWOOD SOUTH BAYSIDE VOLUNTEER AMBULANCE CORP

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386634848, enumerated as an "organization" on October 26, 2005.

The provider is located at 207 07 UNION TURNPIKE BAYSIDE, NY 11364 and the phone number is (718) 464-0592.

Ambulance with taxonomy code 341600000X.

The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.