Organization Active NPI

Wawayanda Emergency Medical Services, Town of

  • Land Ambulance
  • Slate Hill, NY
National Provider Identifier
1124855325
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
WAWAYANDA EMERGENCY MEDICAL SERVICES, TOWN OF
Practice address
1906 Route 284
Slate Hill, NY 10973
Phone
(845) 355-5700
Fax
(845) 355-8207
NPI assigned
Sep 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Denise Quinn
Title
Supervisor
Phone
(845) 355-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1906 Route 284
Slate Hill, NY 10973

Mailing address

80 Ridgebury Hill Rd
Slate Hill, NY 10973-4231
Phone (845) 355-5700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241017000382 NY Part B Supplier - Ambulance Service Supplier 1153853080 Practice locations: Slate Hill, NY

National Provider Directory

National Provider Directory

Locations

80 Ridgebury Hill Rd
Slate Hill, NY 10973

NPI Registry JSON

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1124855325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 RIDGEBURY HILL RD",
            "city": "SLATE HILL",
            "state": "NY",
            "postal_code": "109734231",
            "telephone_number": "845-355-5700",
            "fax_number": "845-355-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 ROUTE 284",
            "city": "SLATE HILL",
            "state": "NY",
            "postal_code": "10973",
            "telephone_number": "845-355-5700",
            "fax_number": "845-355-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAWAYANDA EMERGENCY MEDICAL SERVICES, TOWN OF",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "845-355-5700"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slate Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.