Ridgewood Volunteer Ambulance Corps Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

7368 Issued in NY

Legal business name

RIDGEWOOD VOLUNTEER AMBULANCE CORPS INC

Practice address

503 Onderdonk Ave.
Ridgewood, NY 11385-1862

Phone

(718) 386-7230

Fax

(718) 386-7230

NPI assigned

Oct 11, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Kevin M. Mahoney, EMT

Title

Chairman

Phone

(718) 386-7230

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1164410536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 ONDERDONK AVE.",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851862",
            "telephone_number": "718-386-7230",
            "fax_number": "718-386-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 ONDERDONK AVE.",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851862",
            "telephone_number": "718-386-7230",
            "fax_number": "718-386-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEWOOD VOLUNTEER AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "718-386-7230",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "7368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01671778",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590010302",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.