Organization Active NPI

Pittsford Volunteer Ambulance Inc

  • Land Ambulance
  • Pittsford, NY
National Provider Identifier
1003883802
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2731 Issued in NY
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

Updated by the provider on May 13, 2021

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20040225000358 NY Part B Supplier - Ambulance Service Supplier 3173419397 Practice locations: Pittsford, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1074645Pittsford Volunteer Ambulance Service Inc40 Tobey Road, Pittsford, NY 14534Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.