Organization Active NPI

Mineola Volunteer Ambulance Corps Incorporated

  • Ambulance
  • Mineola, NY
National Provider Identifier
1548435845
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
2901 Issued in NY
Legal business name
MINEOLA VOLUNTEER AMBULANCE CORPS INCORPORATED
Practice address
170 Elm PL
Mineola, NY 11501-3010
Phone
(516) 248-0141
Fax
(516) 248-3015
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Authorized official

Name
Thomas J Devaney
Title
Commissioner
Phone
(516) 248-0141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 2901 NY Primary

Addresses

Primary practice location

170 Elm PL
Mineola, NY 11501-3010

Mailing address

PO Box 587
Mineola, NY 11501-0587
Phone (516) 248-0141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080522000721 NY Part B Supplier - Ambulance Service Supplier 8426127952 Practice locations: Mineola, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2127364Mineola Volunteer Ambulance Corps Inc170 Elm Place, Mineola, NY 11501Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

211 Station Rd
Mineola, NY 11501
Phone (516) 663-8498

170 Elm Pl
Mineola, NY 11501
Phone (516) 248-0141

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1548435845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115010587",
            "telephone_number": "516-248-0141",
            "fax_number": "516-248-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 ELM PL",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013010",
            "telephone_number": "516-248-0141",
            "fax_number": "516-248-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINEOLA VOLUNTEER AMBULANCE CORPS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "DEVANEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COMMISSIONER",
        "authorized_official_telephone_number": "516-248-0141"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "2901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.