Organization Active NPI

Pittstown Volunteer Emergency

  • Ambulance
  • Johnsonville, NY
National Provider Identifier
1154366227
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
09965 Issued in NY
Legal business name
PITTSTOWN VOLUNTEER EMERGENCY
Practice address
60 Parker School Rd
Johnsonville, NY 12094-2613
Phone
(518) 663-8136
NPI assigned
Jun 20, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
John Joseph Lebarron
Title
Treasurer
Phone
(888) 603-2455

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
33D2147226Pittstown Volunteer Emergency Corps60 Parker School Road, Johnsonville, NY 12094Certificate of waiverMar 26, 2027

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040607000365 NY Part B Supplier - Ambulance Service Supplier 7214919851 Practice locations: Johnsonville, NY

National Provider Directory

National Provider Directory

Locations

107 Washington Ave
Albany, NY 12210

60 Parker School Rd
Johnsonville, NY 12094
Phone (518) 663-8136

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 09965 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

60 Parker School Rd
Johnsonville, NY 12094-2613

Mailing address

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

Other identifiers 5

NPPES NPI Registry
IdentifierTypeStateIssuer
4123137OtherMVP
01547277MedicaidNY
1011655OtherVTMEDICAID
0004000566002OtherBCBS OF NENY
P00118527OtherPALMETTO RR MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 31, 2025.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1154366227",
    "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",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PARKER SCHOOL RD",
            "city": "JOHNSONVILLE",
            "state": "NY",
            "postal_code": "120942613",
            "telephone_number": "518-663-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSTOWN VOLUNTEER EMERGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "LEBARRON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "888-603-2455"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "09965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "4123137",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01547277",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "1011655",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NENY",
            "identifier": "0004000566002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR MEDICARE",
            "identifier": "P00118527",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnsonville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.