Active NPI
Broome Volunteer Emergency Squad Inc
- Ambulance
- Binghamton, NY
National Provider Identifier
1407837834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 91091
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01011985 | Medicaid | NY | |
| 590009931 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110110000308 | NY | Part B Supplier - Ambulance Service Supplier | 5496944266 | Practice locations: Binghamton, 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 |
|---|---|---|---|
| 33D2312936 | Broome Volunteer Emergency Squad Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- Broome Health Care Service LLC (Bridgewater Center for Nursing and Rehabilitation)
- Broome Neurosciences, P C
- Broome Obstetrics and Gynecology, P.C.
- Broome Oncology LLC (Broome Oncology)
- Broome Urological Associates, L.L.P.
- Colleen Brown
- Daniel E. Brown, PSY.D.
- Kaleena Naomi Brown, SLP
- Kayla Nicole Brown
- Kimberly Brown, DPM
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.