Organization Active NPI

Volunteer Ambulance Corps of Livingston Manor Inc

  • Ambulance
  • Livingston Manor, NY
National Provider Identifier
1467460386
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
10066 Issued in NY
Legal business name
VOLUNTEER AMBULANCE CORPS OF LIVINGSTON MANOR INC
Practice address
98 Main St
Livingston Manor, NY 10066
Phone
(914) 439-4150
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Authorized official

Name
Debra J Feinberg
Title
Treasurer
Phone
(845) 439-5138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 10066 NY Primary

Addresses

Primary practice location

98 Main St
Livingston Manor, NY 10066

Mailing address

PO Box 535
Baldwinsville, NY 13027-0535
Phone (315) 635-1789

Other identifiers 2

IdentifierTypeStateIssuer
01932750MedicaidNY
698796OtherMVP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110426000077 NY Part B Supplier - Ambulance Service Supplier 7911182514 Practice locations: Livingston Manor, NY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1467460386",
    "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",
            "telephone_number": "315-635-1789",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 MAIN ST",
            "city": "LIVINGSTON MANOR",
            "state": "NY",
            "postal_code": "10066",
            "telephone_number": "914-439-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEER AMBULANCE CORPS OF LIVINGSTON MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "FEINBERG",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "845-439-5138"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01932750",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "698796",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.