Active NPI
Auburn City Ambulance
- Land Ambulance
- Auburn, NY
National Provider Identifier
1306891882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 6212
- 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, 2021
- 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
- Mr. Jeffrey J Dygert
- Title
- City Manager
- Phone
- (315) 255-4146
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02803001 | Medicaid | NY | |
| P00330173 | Other | PALMETTO GBA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060621000166 | NY | Part B Supplier - Ambulance Service Supplier | 8224040936 | Practice locations: Auburn, 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 |
|---|---|---|---|
| 33D2115458 | Auburn City Ambulance | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physician Assistant
- Auburn, NY
- NPI 1336325067
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
- Associated Medical Professionals of Ny, PLLC
- Nicole Assouline, FNP
- Alev Ates Barlas
- Auburn Agt,LLC (Auburn Nursing Home)
- Auburn Audiology, P.C.
- Auburn Community Hospital
- Auburn Community Hospital
- Auburn Community Hospital
- Auburn Community Hospital (Auburn Community Hospital - Outpatient Clinics)
- Auburn Community Hospital
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.