Active NPI
Moira EMS, Inc.
- Land Ambulance
- Moira, NY
National Provider Identifier
1124734611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- MOIRA EMS, INC.
- Practice address
- 2340 County Route 5
Moira, NY 12957 - Phone
- (518) 529-6010
- NPI assigned
- Jan 27, 2023
- Last updated
- Jan 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamie Niles
- Title
- Secretary
- Phone
- (518) 529-6010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
2340 County Route 5
Moira, NY 12957
Mailing address
8610 Main St
Williamsville, NY 14221-7455
Phone (716) 204-3350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230314002873 | NY | Part B Supplier - Ambulance Service Supplier | 4789058702 | Practice locations: Moira, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2295714 | Moira EMS Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674777600000",
"number": "1124734611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8610 MAIN ST",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142217455",
"telephone_number": "716-204-3350",
"fax_number": "715-247-5274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 COUNTY ROUTE 5",
"city": "MOIRA",
"state": "NY",
"postal_code": "12957",
"telephone_number": "518-529-6010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOIRA EMS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-27",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A",
"authorized_official_last_name": "NILES",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "518-529-6010"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.