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

NPI Status: Active since October 10, 2005

Contact Information

15 NOEL RD
BROAD CHANNEL, NY
ZIP 11693
Phone: (718) 474-6888
Fax: (718) 474-6888

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  • Organization
  • Ambulance
  • CLIA Number: 33D2340406
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 03-26-2027

About BROAD CHANNEL VOLUNTEERS INC

This page provides the complete NPI Profile along with additional information for Broad Channel Volunteers Inc, a provider established in Broad Channel, New York operating as a Ambulance. The healthcare provider is registered in the NPI registry with number 1679561112 assigned on October 2005. The practitioner's primary taxonomy code is 341600000X with license number 7340 (NY). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Ms. Mary Gentile (Authorized Agent)

NPI
1679561112
Provider Name
BROAD CHANNEL VOLUNTEERS INC
Entity Type
Organization
Location Address
15 NOEL RD BROAD CHANNEL, NY 11693
Location Phone
(718) 474-6888
Location Fax
(718) 474-6888
Mailing Address
PO BOX 290184 WETHERSFIELD, CT 06129
Mailing Phone
(800) 452-8191
Mailing Fax
(718) 474-6888
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-10-2005
Last Update Date
10-14-2008
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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.
7340
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 GENTILE

Authorized Official Title
AUTHORIZED AGENT
Authorized Official Phone
(800) 452-8191

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
02183MEDICARE PIN (08)NY 
01668060MEDICAID (05)NY 
1679561112OTHER (01)NYRAILROAD MEDICARE

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
33D2340406
Facility Type
Ambulance
Certificate Effective Date
March 17, 2026
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. DANIEL A. RIEGEL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Broad Channel Volunteers Inc 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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1679561112, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 4 + 9 + 1 + 0 + 6 + 2 + 1 + 2 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1679561112.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679561112, enumerated as an "organization" on October 10, 2005.

The provider is located at 15 NOEL RD BROAD CHANNEL, NY 11693 and the phone number is (718) 474-6888.

Ambulance with taxonomy code 341600000X.

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