Provider Demographics
NPI:1609931583
Name:AMERICAN MEDICAL ALERT CORP
Entity Type:Organization
Organization Name:AMERICAN MEDICAL ALERT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP PROVIDER RELATIONS
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSSAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-774-1686
Mailing Address - Street 1:30-30 47TH AVENUE
Mailing Address - Street 2:SUITE 620
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101
Mailing Address - Country:US
Mailing Address - Phone:212-879-5700
Mailing Address - Fax:718-786-1286
Practice Address - Street 1:30-30 47TH AVENUE
Practice Address - Street 2:SUITE 620
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101
Practice Address - Country:US
Practice Address - Phone:212-879-5700
Practice Address - Fax:718-786-1286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04143780Medicaid
NV100501016Medicaid
OK100791190AMedicaid
AK1681612Medicaid
RIAM92399Medicaid
AZ151656Medicaid
GA000534905AMedicaid
NY01293943Medicaid
AR237049754Medicaid
OR500702721Medicaid
HI798671Medicaid
GA000327951AMedicaid
IN300006571Medicaid
NV5888001Medicaid
VA9102388Medicaid
CT008047420Medicaid
MT0399568Medicaid
WA208958401Medicaid