Organization Active NPI

Broome Volunteer Emergency Squad Inc

  • Ambulance
  • Binghamton, NY
National Provider Identifier
1407837834
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
91091 Issued in NY
Legal business name
BROOME VOLUNTEER EMERGENCY SQUAD INC
Practice address
261 Court St
Binghamton, NY 13901-3602
Phone
(855) 978-6303
Fax
(888) 965-4620
NPI assigned
Nov 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Authorized official

Name
Steven Brown
Title
Director of Operations
Phone
(607) 772-6565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 91091 NY Primary

Addresses

Primary practice location

261 Court St
Binghamton, NY 13901-3602

Mailing address

PO Box 29895
New York, NY 10087-9895
Phone (855) 978-6303

Other identifiers 2

IdentifierTypeStateIssuer
01011985MedicaidNY
590009931OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110110000308 NY Part B Supplier - Ambulance Service Supplier 5496944266 Practice locations: Binghamton, 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
33D2312936Broome Volunteer Emergency Squad Inc261 Court St, Binghamton, NY 13901Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

261 Court St
Binghamton, NY 13901
Phone (607) 772-6565

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1407837834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29895",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100879895",
            "telephone_number": "855-978-6303",
            "fax_number": "888-965-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 COURT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139013602",
            "telephone_number": "855-978-6303",
            "fax_number": "888-965-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOME VOLUNTEER EMERGENCY SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "607-772-6565"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "91091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01011985",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590009931",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.