Organization Active NPI

Irvington Volunteer Ambulance Corps Inc

  • Ambulance
  • Irvington, NY
National Provider Identifier
1114901790
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
10375 Issued in NY
Legal business name
IRVINGTON VOLUNTEER AMBULANCE CORPS INC
Practice address
80 Main St
Irvington, NY 10533-1719
Phone
(914) 591-5151
NPI assigned
Dec 6, 2005
Last updated
Nov 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Lucas Isola
Title
Captain
Phone
(914) 591-5151

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 10375 NY Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

80 Main St
Irvington, NY 10533-1719

Mailing address

PO Box 535
Baldwinsville, NY 13027-0535
Phone (315) 635-1789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111128000063 NY Part B Supplier - Ambulance Service Supplier 5193999332 Practice locations: Irvington, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2271942Irvington Volunteer Ambulance Corps80 Main St, Irvington, NY 10533Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

80 Main St
Irvington, NY 10533
Phone (914) 591-5151

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1114901790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130270535",
            "telephone_number": "315-635-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MAIN ST",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "105331719",
            "telephone_number": "914-591-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINGTON VOLUNTEER AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "ISOLA",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "914-591-5151"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10375",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.