New City Volunteer Ambulance Corps Rescue Squad, Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

NEW CITY VOLUNTEER AMBULANCE CORPS RESCUE SQUAD, INC

Practice address

200 Congers Rd
New City, NY 10956-6256

Phone

(845) 634-3433

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Regina Jacobsen

Title

President

Phone

(845) 634-3433

Specialties & licenses 1

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

Locations

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1073553723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8000, DEPT 538",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142670001",
            "telephone_number": "610-401-2041",
            "fax_number": "610-401-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CONGERS RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566256",
            "telephone_number": "845-634-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CITY VOLUNTEER AMBULANCE CORPS RESCUE SQUAD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-634-3433"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01455316",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in New City, NY
• Providers in New City, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.