Greater Baldwinsville Ambulance Corp

Primary specialty

AmbulanceTaxonomy code 341600000X

License

10475 Issued in NY

Legal business name

GREATER BALDWINSVILLE AMBULANCE CORP

Practice address

11 Albert Palmer LN
Baldwinsville, NY 13027-2401

Phone

(315) 638-4328

NPI assigned

Dec 28, 2005

Organization subpart

No

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

Authorized official

Name

Mark Procopio

Title

President

Phone

(315) 391-8325

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1346227683",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ALBERT PALMER LN",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130272401",
            "telephone_number": "315-638-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BALDWINSVILLE AMBULANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "PROCOPIO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-391-8325"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1371186",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "951017",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD",
            "identifier": "59007883",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "3200259",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jilleen Elizabeth Gorham, MS, LMHC
• Derek Paul Gorski, D.O.
• Kiersten Lee Grabowski, M.S. CCC-SLP
• Bethany Gratien
• Regina Gravante
• Erin Greenwood, CCC-SLP
• Gregory N Joy, MD PLLC
• Anthony J Grosso, R.PH.
• Christopher Jee Guido
• Dominique M Guillet, RPH

• Ambulance in Baldwinsville, NY
• Providers in Baldwinsville, NY by specialty
• Ambulance in New York

• 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.
• 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.