{"npi":"1750379293","type":"NPI-2","status":"active","name":{"display":"Roy B Pettengill Amb Assoc","other":[],"organization_name":"ROY B PETTENGILL AMB ASSOC","authorised_official":"Lori Tarka"},"specialty":{"primary_taxonomy":"3416L0300X","primary_taxonomy_description":"Land Ambulance","slug":"land-ambulance","schema_org_specialty":null,"all":[{"code":"3416L0300X","description":"Land Ambulance","primary":true,"state":"CT","license":"C079B1"}]},"addresses":[{"purpose":"LOCATION","street_1":"7 HEBRON RD","city":"MARLBOROUGH","state":"CT","postal_code":"064471202","country_code":"US","phone":"8602956219","fax":"8602950604"},{"purpose":"MAILING","street_1":"PO BOX 165","city":"BRANFORD","state":"CT","postal_code":"064050165","country_code":"US","phone":"8606633634","fax":"8604524430"}],"license":{"state":"CT","number":"C079B1"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"004224565","state":"CT","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20070329000173","type_code":"12-59","type_desc":"PART B SUPPLIER - AMBULANCE SERVICE SUPPLIER","state":"CT","pac_id":"0345344412"}]},"enumeration_date":"2005-10-10","last_updated":"2025-11-04","_meta":{"source":"NPPES","snapshot_date":"2025-11-04","doc_url":"https://findmynpi.com/api"}}