Organization Active NPI

Katonah-Bedford Hills Volunteer Ambulance Corps

  • Land Ambulance
  • Katonah, NY
National Provider Identifier
1215928692
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
KATONAH-BEDFORD HILLS VOLUNTEER AMBULANCE CORPS
Practice address
160 Bedford Road
Katonah, NY 10536-2309
Phone
(914) 232-5872
Fax
(914) 237-1969
NPI assigned
Nov 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Jessica Dealto
Title
Treasurer
Phone
(914) 232-5872

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 5945 NY
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

160 Bedford Road
Katonah, NY 10536-2309

Mailing address

8610 Main Street
Williamsville, NY 14221-7455
Phone (716) 204-3350

Other identifiers 2

IdentifierTypeStateIssuer
01470319MedicaidNY
590009004OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111229000628 NY Part B Supplier - Ambulance Service Supplier 3375719032 Practice locations: Katonah, NY

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
33D2080196Katonah - Bedford Hills Volunteer Ambulance Corps160 Bedford Road, Katonah, NY 10536Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

160 Bedford Rd
Katonah, NY 10536
Phone (914) 232-5872

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1215928692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 MAIN STREET",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217455",
            "telephone_number": "716-204-3350",
            "fax_number": "716-247-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BEDFORD ROAD",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362309",
            "telephone_number": "914-232-5872",
            "fax_number": "914-237-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATONAH-BEDFORD HILLS VOLUNTEER AMBULANCE CORPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "DEALTO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "914-232-5872"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "5945",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01470319",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590009004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katonah, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.