Active NPI
Eastchester Volunteer Ambulance Corps Inc
- Ambulance
- Eastchester, NY
National Provider Identifier
1215925755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 5940
- Legal business name
- EASTCHESTER VOLUNTEER AMBULANCE CORPS INC
- Practice address
- 257 Main St
Eastchester, NY 10709-2901 - Phone
- (914) 337-3051
- Fax
- (914) 779-1463
- NPI assigned
- Oct 10, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mary T Gentile
- Title
- Authorized Agent
- Phone
- (800) 452-8191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 5940 | NY | Primary |
Addresses
Primary practice location
257 Main St
Eastchester, NY 10709-2901
Mailing address
PO Box 290184
Wethersfield, CT 06129-0184
Phone (800) 452-8191
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01464644 | Medicaid | NY | |
| 590008543 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111215000565 | NY | Part B Supplier - Ambulance Service Supplier | 2264607571 | Practice locations: Eastchester, NY |
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 |
|---|---|---|---|
| 33D0996431 | Eastchester Volunteer Ambulance Corps Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
257 Main St
Eastchester, NY 10709
Phone (914) 337-3007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271980800000",
"number": "1215925755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 290184",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061290184",
"telephone_number": "800-452-8191",
"fax_number": "860-563-3403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257 MAIN ST",
"city": "EASTCHESTER",
"state": "NY",
"postal_code": "107092901",
"telephone_number": "914-337-3051",
"fax_number": "914-779-1463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTCHESTER VOLUNTEER AMBULANCE CORPS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-10",
"last_updated": "2010-04-23",
"status": "A",
"authorized_official_last_name": "GENTILE",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "AUTHORIZED AGENT",
"authorized_official_telephone_number": "800-452-8191",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NY",
"license": "5940",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01464644",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590008543",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eastchester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.