Organization Active NPI

Upstate Ambulette

  • Non-emergency Medical Transport (VAN)
  • Monroe, NY
National Provider Identifier
1023489986
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
UPSTATE AMBULETTE
Practice address
51 Forest Rd
316-201
Monroe, NY 10950-2948
Phone
(184) 522-2447
NPI assigned
Oct 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Samuel Weider
Title
Officer
Phone
(845) 222-4470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

51 Forest Rd
316-201
Monroe, NY 10950-2948

Mailing address

51 Forest Rd
316-201
Monroe, NY 10950-2948

National Provider Directory

National Provider Directory

Locations

51 Forest Rd
Monroe, NY 10950

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1023489986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 FOREST RD",
            "address_2": "316-201",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 FOREST RD",
            "address_2": "316-201",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502948",
            "telephone_number": "184-522-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE AMBULETTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "WEIDER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "18452224470"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.