Phelps Ambulance, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PHELPS AMBULANCE, INC.

Practice address

79 Ontario Street
Phelps, NY 14532-0000

Phone

(315) 548-3862

Fax

(315) 548-2552

NPI assigned

May 2, 2006

Last updated

Dec 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronald Nieskes

Title

President

Phone

(315) 521-7510

Specialties & licenses 2

Addresses

Other identifiers 1

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

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1013975994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81",
            "city": "PHELPS",
            "state": "NY",
            "postal_code": "145320081",
            "telephone_number": "315-548-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 ONTARIO STREET",
            "city": "PHELPS",
            "state": "NY",
            "postal_code": "145320000",
            "telephone_number": "315-548-3862",
            "fax_number": "315-548-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHELPS AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "NIESKES",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-521-7510"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "10182",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02670304",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Mae Hoover, MSOTR/L
• Alexis Johnson
• Samantha Willow Lewis
• Jeffrey Mathias, LMSW
• Patricia Ann Oneil, LPN
• Phelps Hometown Pharmacy LLC
• Daniel Louis Rosinski, D.D.S.
• State of New York Comptrollers Office
• Karissa Kelley Vancamp
• Rachel Waltz, R.N.

• Land Ambulance in Phelps, NY
• Providers in Phelps, 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 Dec 15, 2025; 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.