PORT JEFFERSON VOLUNTEER AMBULANCE INC NPI 1982923397

NPI Details

PORT JEFFERSON VOLUNTEER AMBULANCE INC is an emergency medical technician paramedic in Mount Sinai, NY. The provider is an EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. PORT JEFFERSON VOLUNTEER AMBULANCE INC NPI is 1982923397. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

25 CRYSTAL BROOK HOLLOW RD
MOUNT SINAI, NY
ZIP 11766-612
Phone: (631) 473-2519
Fax: (631) 476-6716

The provider's authorized official is Jason Lazerus .
The authorized official title is Chief Of Training and has the following contact phone number (631) 473-2519.

The CLIA number assigned to this NPI record is 33D2051318 - ambulance with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Ground mileage, per statute mile (HCPCS:A0425)
• Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)
• Ambulance service, basic life support, non-emergency transport, (bls) (HCPCS:A0428)
• Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)

The enumeration date for this NPI number is 5/25/2010 and was last updated on 5/14/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: