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MANORVILLE COMMUNITY AMBULANCE INC
NPI 1568004208
Ambulance - Land Transport in Manorville, NY

Active since October 15, 2019CLIA 33D2291704 · Waiver
184 SOUTH ST, MANORVILLE, NY 11949(631) 278-2140 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 28, 2022, Oct 15, 2019 (2 updates tracked since 2019).

About Manorville Community Ambulance Inc NPPES

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

MANORVILLE COMMUNITY AMBULANCE INC (NPI 1568004208) is a healthcare organization registered as a land transport in Manorville, New York and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Nicholas Caporusso, Assistant Chief, as its authorized official.

NPPES Registry Identity

NPI1568004208
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameMANORVILLE COMMUNITY AMBULANCE INC
Location Address184 SOUTH STManorville, NY 11949-3051
Mailing Address184 Souh StreetManorville, NY 11949 · (631) 278-2140
Phone(631) 278-2140
Organization SubpartNo
Authorized OfficialNicholas CaporussoAssistant Chief · (631) 278-2140
Enumeration DateOctober 15, 2019
Last NPPES UpdateJuly 28, 20222 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1568004208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
184 SOUTH ST, Manorville, NY 11949
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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 33D2291704

Manorville Community Ambulance Inc · Manorville, NY
Active · expires Mar 26, 2027
CLIA Number33D2291704
Laboratory TypeAmbulance
Certificate Effective DateOctober 16, 2023
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Robert T. Marshall
Laboratory Phone(631) 878-6333
Laboratory LocationManorville Community Ambulance Inc184 South St, Manorville, NY 11949
CLIA data matches this NPI record on: Address Name
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.
4,077 services246 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.
274 services198 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.
86 services75 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 Manorville Community Ambulance Inc's NPI number?

The NPI number for Manorville Community Ambulance Inc is 1568004208. It was assigned to this organization in the NPPES registry on October 15, 2019.

Where is Manorville Community Ambulance Inc located?

Manorville Community Ambulance Inc is located at 184 South St, Manorville, NY 11949. The listed phone number is (631) 278-2140.

What is Manorville Community Ambulance Inc's specialty?

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

Does Manorville Community Ambulance Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2291704) 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 Manorville Community Ambulance Inc was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.