Organization Active NPI

Nanuet Community Ambulance Corps, Inc.

  • Ambulance
  • Nanuet, NY
National Provider Identifier
1629019054
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
NANUET COMMUNITY AMBULANCE CORPS, INC.
Practice address
255 S Middletown Rd
Nanuet, NY 10954-3327
Phone
(845) 623-5875
Fax
(845) 623-7322
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Anthony Pelliccio
Title
President
Phone
(203) 921-5999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

255 S Middletown Rd
Nanuet, NY 10954-3327

Mailing address

PO Box 8000 Dept 537
Buffalo, NY 14267-0002
Phone (203) 921-5999

Other identifiers 1

IdentifierTypeStateIssuer
01526810MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110322000117 NY Part B Supplier - Ambulance Service Supplier 7416130935 Practice locations: Nanuet, 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
33D2022619Nanuet Community Ambulance Corps255 S Middletown Road, Nanuet, NY 10954Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

255 S Middletown Rd
Nanuet, NY 10954
Phone (845) 623-5875

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1629019054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8000 DEPT 537",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142670002",
            "telephone_number": "203-921-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S MIDDLETOWN RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543327",
            "telephone_number": "845-623-5875",
            "fax_number": "845-623-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANUET COMMUNITY AMBULANCE CORPS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "PELLICCIO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-921-5999"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01526810",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.