Blooming Grove Volunteer Ambulance Corps Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

31217 Issued in NY

Legal business name

BLOOMING GROVE VOLUNTEER AMBULANCE CORPS INC

Practice address

7 North Street
Washingtonville, NY 10992

Phone

(845) 496-9281

Fax

(845) 497-3185

NPI assigned

Jun 10, 2006

Last updated

Jan 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Bates

Title

Board Member

Phone

(845) 497-3186

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1538100284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 SHERIDAN DR",
            "address_2": "SUITE 3B",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213730",
            "telephone_number": "716-204-3350",
            "fax_number": "716-247-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 NORTH STREET",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "10992",
            "telephone_number": "845-496-9281",
            "fax_number": "845-497-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING GROVE VOLUNTEER AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "845-497-3186"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "31217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02065598",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra R Bertolino Crapanzano, LCSW-R
• Barbara Beyer, M.D.
• Martina Bezdickova, M.D.
• Kayla Elisabeth Bishop, M.S. CCC SLP
• Sairis Symone Blair-Diaz
• Kristen Boerke
• Christine Michelle Brunet, LMSW
• Ludivinia Gonzales Caballero, M.D.
• Sandra Marie Carlino, COTA
• Sharen Casazza, M.D.

• Land Ambulance in Washingtonville, NY
• Providers in Washingtonville, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.

Verify at the official NPI Registry.