Active NPI
Katonah-Bedford Hills Volunteer Ambulance Corps
- Land Ambulance
- Katonah, NY
National Provider Identifier
1215928692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01470319 | Medicaid | NY | |
| 590009004 | 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 |
|---|---|---|---|---|
| O20111229000628 | NY | Part B Supplier - Ambulance Service Supplier | 3375719032 | Practice locations: Katonah, 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 |
|---|---|---|---|
| 33D2080196 | Katonah - Bedford Hills Volunteer Ambulance Corps | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.