Organization Active NPI

Village of New Berlin

  • Land Ambulance
  • New Berlin, NY
National Provider Identifier
1265604607
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
6221 Issued in NY
Legal business name
VILLAGE OF NEW BERLIN
Practice address
13 South Main Street
New Berlin, NY 13411
Phone
(607) 847-6389
Fax
(607) 847-9865
NPI assigned
Mar 26, 2008
Organization subpart
No

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080520000578 NY Part B Supplier - Ambulance Service Supplier 1254400062 Practice locations: New Berlin, NY

National Provider Directory

National Provider Directory

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Kelly Marie Anderson
Title
Clerk/Treasurer
Phone
(607) 847-6389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 6221 NY Primary

Addresses

Primary practice location

13 South Main Street
New Berlin, NY 13411

Mailing address

PO Box 535
Baldwinsville, NY 13027-0535
Phone (315) 635-1789

Other identifiers 1

IdentifierTypeStateIssuer
03015230MedicaidNY

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1265604607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130270535",
            "telephone_number": "315-635-1789",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 SOUTH MAIN STREET",
            "city": "NEW BERLIN",
            "state": "NY",
            "postal_code": "13411",
            "telephone_number": "607-847-6389",
            "fax_number": "607-847-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF NEW BERLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLERK/TREASURER",
        "authorized_official_telephone_number": "607-847-6389"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "6221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03015230",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.