Active NPI
Mamakating First Aid Squad Inc
- Ambulance
- Wurtsboro, NY
National Provider Identifier
1477623320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 5222
- Legal business name
- MAMAKATING FIRST AID SQUAD INC
- Practice address
- 68 Sullivan St
Wurtsboro, NY 12790 - Phone
- (845) 888-2544
- NPI assigned
- Nov 8, 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
- Frank Sisco
- Title
- President
- Phone
- (845) 866-4818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 5222 | NY | Primary |
Addresses
Primary practice location
68 Sullivan St
Wurtsboro, NY 12790
Mailing address
PO Box 535
Baldwinsville, NY 13027-0535
Phone (800) 927-5845
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590014052 | Other | NY | RAILROAD MEDICARE |
| 02004171 | 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 |
|---|---|---|---|---|
| O20070615000544 | NY | Part B Supplier - Ambulance Service Supplier | 3173621083 | Practice locations: Wurtsboro, 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 |
|---|---|---|---|
| 33D2316946 | Mamakating First Aid Squad Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700438400000",
"number": "1477623320",
"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": "800-927-5845",
"fax_number": "315-635-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 SULLIVAN ST",
"city": "WURTSBORO",
"state": "NY",
"postal_code": "12790",
"telephone_number": "845-888-2544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAMAKATING FIRST AID SQUAD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A",
"authorized_official_last_name": "SISCO",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-866-4818"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NY",
"license": "5222",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590014052",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02004171",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wurtsboro, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.