Greater Amsterdam Volunteer Ambulance Corps, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2812 Issued in NY

Legal business name

GREATER AMSTERDAM VOLUNTEER AMBULANCE CORPS, INC

Doing business as

GAVAC

Practice address

24 Gardner Place
Amsterdam, NY 12010

Phone

(518) 843-1150

NPI assigned

Mar 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas P Pasquarelli

Title

Executive Director

Phone

(518) 843-1150

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GAVAC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1073581484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 11",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-843-1150",
            "fax_number": "518-842-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 GARDNER PLACE",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-843-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER AMSTERDAM VOLUNTEER AMBULANCE CORPS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "PASQUARELLI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-843-1150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "2812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01410053",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GAVAC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GAVAC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Lee Goodding, LPN
• Valorie Goodemote, PTA
• Robert H Goslin, M.D.
• Govind C.. Rao
• Greater Amsterdam School District
• Kaley Rebecca Green, COTA/L
• Alicia Greene
• Patricia Lynn Gundlach, M.S., A.T.C
• Maya Gurme, DDS
• Julian Seth Gutmaker, OD

• Land Ambulance in Amsterdam, NY
• Providers in Amsterdam, 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 Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.