Active NPI
Volunteer Ambulance Corps of Livingston Manor Inc
- Ambulance
- Livingston Manor, NY
National Provider Identifier
1467460386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 10066
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01932750 | Medicaid | NY | |
| 698796 | Other | MVP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110426000077 | NY | Part B Supplier - Ambulance Service Supplier | 7911182514 | Practice locations: Livingston Manor, NY |
National Provider Directory
National Provider DirectoryNPI 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.