Organization Active NPI

Haverstraw Ambulance Corps, Inc

  • Ambulance
  • Haverstraw, NY
National Provider Identifier
1164458022
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
HAVERSTRAW AMBULANCE CORPS, INC
Practice address
160 North Route 9 West
Haverstraw, NY 10927
Phone
(845) 947-5500
Fax
(845) 947-3160
NPI assigned
Jun 23, 2006
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
William Stone
Title
President
Phone
(845) 825-9250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

160 North Route 9 West
Haverstraw, NY 10927

Mailing address

PO Box 8000, Dept 029
Buffalo, NY 14267-0001
Phone (845) 825-9250

Other identifiers 1

IdentifierTypeStateIssuer
01734927MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110404000004 NY Part B Supplier - Ambulance Service Supplier 2668656406 Practice locations: Haverstraw, NY

National Provider Directory

National Provider Directory

Locations

160 N Route 9W
Haverstraw, NY 10927
Phone (845) 947-5500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1164458022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8000, DEPT 029",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142670001",
            "telephone_number": "845-825-9250",
            "fax_number": "610-401-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NORTH ROUTE 9 WEST",
            "city": "HAVERSTRAW",
            "state": "NY",
            "postal_code": "10927",
            "telephone_number": "845-947-5500",
            "fax_number": "845-947-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVERSTRAW AMBULANCE CORPS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-825-9250"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01734927",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverstraw, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.

Verify at the official NPI Registry.