Putnam Valley Volunteer Ambulance Corporations Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PUTNAM VALLEY VOLUNTEER AMBULANCE CORPORATIONS INC

Practice address

218 Oscawana Lake Road
Putnam Valley, NY 10579

Phone

(845) 526-3119

Fax

(845) 526-6561

NPI assigned

Jul 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stuart Wells

Title

Captain

Phone

(845) 526-3119

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003833617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 SHERIDAN DR STE 3B",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213730",
            "telephone_number": "716-204-3350",
            "fax_number": "716-634-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 OSCAWANA LAKE ROAD",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "10579",
            "telephone_number": "845-526-3119",
            "fax_number": "845-526-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM VALLEY VOLUNTEER AMBULANCE CORPORATIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "845-526-3119"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10564",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR MEDICARE",
            "identifier": "590010010",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01644086",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9599740",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Mary Powers-Kulusic, LCSW
• Premier Medical Associates of the Hudson Valley
• Putnam Valley Central School District
• Putnam Valley Pediatrics, P.C.
• Putnam Valley Pharmacy Inc
• Martha Tiresina Rabson, TEACHER
• Matthew Ranalletta
• Sarah Regan
• Claudia Rose Rivas, LMSW
• Maria Rosato-Nierenberg, CNM

• Land Ambulance in Putnam Valley, NY
• Providers in Putnam Valley, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.