Organization Active NPI

Woodlawn Volunteer Fire Company, Inc.

  • Land Ambulance
  • Blasdell, NY
National Provider Identifier
1336924778
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
WOODLAWN VOLUNTEER FIRE COMPANY, INC.
Practice address
3281 Lake Shore Rd
Blasdell, NY 14219-1417
Phone
(716) 824-2284
NPI assigned
Aug 25, 2023
Last updated
Aug 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Richard J. Mardino
Title
Treasurer
Phone
(716) 824-2284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

3281 Lake Shore Rd
Blasdell, NY 14219-1417

Mailing address

8610 Main St
Williamsville, NY 14221-7455
Phone (716) 204-3350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231120002599 NY Part B Supplier - Ambulance Service Supplier 7315395902 Practice locations: Blasdell, 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
33D2281005Woodlawn Volunteer Fire Company3281 Lake Shore Rd, Blasdell, NY 14219Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

3281 Lake Shore Rd
Buffalo, NY 14219
Phone (716) 824-2284

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1336924778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 MAIN ST",
            "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": "3281 LAKE SHORE RD",
            "city": "BLASDELL",
            "state": "NY",
            "postal_code": "142191417",
            "telephone_number": "716-824-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAWN VOLUNTEER FIRE COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "MARDINO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "716-824-2284"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blasdell, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.