Valhalla Ambulance Corps Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

VALHALLA AMBULANCE CORPS INC

Practice address

1 Westlake Dr
Valhalla, NY 10595

Phone

(914) 887-5749

Fax

(914) 887-4699

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Deanna R Martell

Title

Chairperson

Phone

(914) 946-8138

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275619173",
    "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": "13027",
            "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": "1 WESTLAKE DR",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "10595",
            "telephone_number": "914-887-5749",
            "fax_number": "914-887-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALHALLA AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTELL",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHAIRPERSON",
        "authorized_official_telephone_number": "914-946-8138",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02247923",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "3200485",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RR MEDICARE",
            "identifier": "P00181557",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manuel Alejandro Urina Jassir, M.D.
• Geovanna Valdivieso
• Alice O Valencia-Castillo, MD
• Marilyn Valencia
• Angela Valente-Muscolino, MS
• Valhalla Anesthesia Associates, PC
• Valhalla Dental Associates
• Valhalla Dental Associates, LLP
• Valhalla Dental PLLC
• Valhalla Union Free School District

• All providers in Valhalla, NY
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.