Active NPI
Wawayanda Emergency Medical Services, Town of
- Land Ambulance
- Slate Hill, NY
National Provider Identifier
1124855325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241017000382 | NY | Part B Supplier - Ambulance Service Supplier | 1153853080 | Practice locations: Slate Hill, NY |
National Provider Directory
National Provider DirectoryLocations
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.