Upstate Ambulatory Service LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

UPSTATE AMBULATORY SERVICE LLC

Practice address

13 Buena Vista Ave
Wallkill, NY 12589

Phone

(845) 275-7575

NPI assigned

Nov 9, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Julia G Castro

Title

Owner

Phone

(845) 275-7575

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1114390499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2411",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "12550",
            "telephone_number": "845-275-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BUENA VISTA AVE",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "12589",
            "telephone_number": "845-275-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE AMBULATORY SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-275-7575",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Thompson
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• To-Loan Thi Tran, D.M.D.
• Corina Tyrrell, LMT
• Juan Angel Vega, MD
• Katherine Velez, PH.D.
• Louisner Victor
• Jennifer Wallingford, M.S., CCC-SLP
• Wallkill Central School District

• Non-emergency Medical Transport (VAN) in Wallkill, NY
• Providers in Wallkill, NY by specialty
• Non-emergency Medical Transport (VAN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.