Organization Active NPI

Auburn City Ambulance

  • Land Ambulance
  • Auburn, NY
National Provider Identifier
1306891882
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
6212 Issued in NY
Legal business name
AUBURN CITY AMBULANCE
Practice address
23 Market St
Auburn, NY 13021-3619
Phone
(315) 252-4004
NPI assigned
May 23, 2006
Last updated
Nov 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Mr. Jeffrey J Dygert
Title
City Manager
Phone
(315) 255-4146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 6212 NY Primary

Addresses

Primary practice location

23 Market St
Auburn, NY 13021-3619

Mailing address

24 South St
Auburn, NY 13021-3832
Phone (315) 255-4138

Other identifiers 2

IdentifierTypeStateIssuer
02803001MedicaidNY
P00330173OtherPALMETTO GBA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060621000166 NY Part B Supplier - Ambulance Service Supplier 8224040936 Practice locations: Auburn, 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
33D2115458Auburn City Ambulance23 Market Street, Auburn, NY 13021Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

23 Market St
Auburn, NY 13021
Phone (315) 252-1107

638 Burnet Ave
Syracuse, NY 13203
Phone (315) 422-0211

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1306891882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SOUTH ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213832",
            "telephone_number": "315-255-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MARKET ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213619",
            "telephone_number": "315-252-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN CITY AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "DYGERT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "315-255-4146",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "6212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02803001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "P00330173",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.