Organization Active NPI

Pleasantville Ambulance Corps, Inc

  • Ambulance
  • Thornwood, NY
National Provider Identifier
1134594161
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
PLEASANTVILLE AMBULANCE CORPS, INC
Practice address
30 Gramercy Place
Thornwood, NY 10594
Phone
(914) 769-9299
NPI assigned
Dec 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Kelli Wind
Title
Captain
Phone
(914) 769-9299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

30 Gramercy Place
Thornwood, NY 10594

Mailing address

PO Box 201
Pleasantville, NY 10570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161107000428 NY Part B Supplier - Ambulance Service Supplier 9234417601 Practice locations: Thornwood, 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
33D2268339Pleasantville Volunteer Ambulance Corps30 Gramercy Place, Thornwood, NY 10594Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

30 Gramercy Pl
Thornwood, NY 10594
Phone (914) 769-9299

NPI Registry JSON

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1134594161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "10570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GRAMERCY PLACE",
            "city": "THORNWOOD",
            "state": "NY",
            "postal_code": "10594",
            "telephone_number": "914-769-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANTVILLE AMBULANCE CORPS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "WIND",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "914-769-9299"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.