Active NPI
Pittsford Volunteer Ambulance Inc
- Land Ambulance
- Pittsford, NY
National Provider Identifier
1003883802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2731
- Legal business name
- PITTSFORD VOLUNTEER AMBULANCE INC
- Practice address
- 40 Tobey Rd
Pittsford, NY 14534-1893 - Phone
- (585) 385-2401
- Fax
- (585) 385-5894
- NPI assigned
- Mar 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jonathan David Smith, PARAMEDIC
- Title
- Chief
- Phone
- (585) 385-2401
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2731 | NY | Primary |
| Land Ambulance | 3416L0300X | 32834 | NY |
Addresses
Primary practice location
40 Tobey Rd
Pittsford, NY 14534-1893
Mailing address
40 Tobey Rd
Pittsford, NY 14534-1893
Phone (585) 385-2401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040225000358 | NY | Part B Supplier - Ambulance Service Supplier | 3173419397 | Practice locations: Pittsford, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1074645 | Pittsford Volunteer Ambulance Service Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
40 Tobey Rd
Pittsford, NY 14534
Phone (585) 385-2401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620864000000",
"number": "1003883802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 TOBEY RD",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145341893",
"telephone_number": "585-385-2401",
"fax_number": "585-385-5894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 TOBEY RD",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145341893",
"telephone_number": "585-385-2401",
"fax_number": "585-385-5894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PITTSFORD VOLUNTEER AMBULANCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-01",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "585-385-2401",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PARAMEDIC"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NY",
"license": "2731",
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NY",
"license": "32834",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.