Active NPI
Pittstown Volunteer Emergency
- Ambulance
- Johnsonville, NY
National Provider Identifier
1154366227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 09965
- 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 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 |
|---|---|---|---|
| 33D2147226 | Pittstown Volunteer Emergency Corps | Certificate of waiver | Mar 26, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040607000365 | NY | Part B Supplier - Ambulance Service Supplier | 7214919851 | Practice locations: Johnsonville, NY |
National Provider Directory
National Provider DirectoryLocations
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 09965 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4123137 | Other | MVP | |
| 01547277 | Medicaid | NY | |
| 1011655 | Other | VT | MEDICAID |
| 0004000566002 | Other | BCBS OF NENY | |
| P00118527 | Other | PALMETTO 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.