Active NPI
William Paul Faist Volunteer Ambulance Corps
- Ambulance
- Chestnut Ridge, NY
National Provider Identifier
1437191012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- WILLIAM PAUL FAIST VOLUNTEER AMBULANCE CORPS
- Practice address
- 3 Red Schoolhouse Rd
Chestnut Ridge, NY 10977-6738 - Phone
- (845) 352-4556
- NPI assigned
- Jun 11, 2006
- Last updated
- Apr 20, 2009
- 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
- Cecil Ann Simmons
- Title
- Chairwoman of the Board
- Phone
- (845) 352-4556
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
3 Red Schoolhouse Rd
Chestnut Ridge, NY 10977-6738
Mailing address
PO Box 531
Orangeburg, NY 10962-0531
Phone (610) 401-2041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01435047 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090507000180 | NY | Part B Supplier - Ambulance Service Supplier | 0345398012 | Practice locations: Chestnut Ridge, 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 |
|---|---|---|---|
| 33D2305654 | William Paul Faist Volunteer Ambulance Corps | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
3 Red Schoolhouse Rd
Chestnut Ridge, NY 10977
Phone (845) 352-4556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240185600000",
"number": "1437191012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 531",
"city": "ORANGEBURG",
"state": "NY",
"postal_code": "109620531",
"telephone_number": "610-401-2041",
"fax_number": "610-401-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 RED SCHOOLHOUSE RD",
"city": "CHESTNUT RIDGE",
"state": "NY",
"postal_code": "109776738",
"telephone_number": "845-352-4556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM PAUL FAIST VOLUNTEER AMBULANCE CORPS",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2009-04-20",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "CECIL",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CHAIRWOMAN OF THE BOARD",
"authorized_official_telephone_number": "845-352-4556"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01435047",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chestnut Ridge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.