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BROAD CHANNEL VOLUNTEERS INC
NPI 1679561112
Ambulance in Broad Channel, NY

Active since October 10, 2005CLIA 33D2340406 · Waiver
15 NOEL RD, BROAD CHANNEL, NY 11693(718) 474-6888(718) 474-6888 Get Directions Write a Review

NPPES record last updated: October 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Broad Channel Volunteers Inc NPPES

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

BROAD CHANNEL VOLUNTEERS INC (NPI 1679561112) is a healthcare organization registered as an ambulance in Broad Channel, New York and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Mary Gentile, Authorized Agent, as its authorized official.

NPPES Registry Identity

NPI1679561112
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameBROAD CHANNEL VOLUNTEERS INC
Location Address15 NOEL RDBroad Channel, NY 11693-1037
Mailing AddressPo Box 290184Wethersfield, CT 06129-0184 · (800) 452-8191 · Fax (860) 721-6362
Phone(718) 474-6888
Fax(718) 474-6888
Organization SubpartNo
Authorized OfficialMary GentileAuthorized Agent · (800) 452-8191
Enumeration DateOctober 10, 2005
Last NPPES UpdateOctober 14, 2008
✔ NPI 1679561112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in NY · 7340
Definition
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).
15 NOEL RD, Broad Channel, NY 11693
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Other Identifiers 3

Medicare PIN02183NY
Medicaid01668060NY
Other1679561112NY · Railroad Medicare

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 33D2340406

Broad Channel Volunteers Inc · Rockaway Beach, NY
Active · expires Mar 26, 2027
CLIA Number33D2340406
Laboratory TypeAmbulance
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Daniel A. Riegel
Laboratory Phone(718) 474-6888
Laboratory LocationBroad Channel Volunteers Inc15 Noel Rd, Rockaway Beach, NY 11693
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Broad Channel Volunteers Inc's NPI number?

The NPI number for Broad Channel Volunteers Inc is 1679561112. It was assigned to this organization in the NPPES registry on October 10, 2005.

Where is Broad Channel Volunteers Inc located?

Broad Channel Volunteers Inc is located at 15 Noel Rd, Broad Channel, NY 11693. The listed phone number is (718) 474-6888.

What is Broad Channel Volunteers Inc's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Broad Channel Volunteers Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2340406) 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 Broad Channel Volunteers Inc was last updated on October 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.