Organization Active NPI

Newark-Arcadia Volunteer Ambulance, Inc.

  • Land Ambulance
  • Newark, NY
National Provider Identifier
1639146400
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
NEWARK-ARCADIA VOLUNTEER AMBULANCE, INC.
Practice address
301 Frey Street
Newark, NY 14513-0000
Phone
(315) 331-0660
NPI assigned
Mar 1, 2006
Last updated
Aug 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Authorized official

Name
Michael J Catalano
Title
President
Phone
(315) 331-0660

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 5839 NY
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

301 Frey Street
Newark, NY 14513-0000

Mailing address

8610 Main St
Williamsville, NY 14221-7455
Phone (716) 204-3350

Other identifiers 2

IdentifierTypeStateIssuer
590005623OtherNYMEDICARE RAILROAD
01185780MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070219000324 NY Part B Supplier - Ambulance Service Supplier 6103928304 Practice locations: Newark, 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
33D2194668Newark-Arcadia Volunteer Ambulance Inc301 Frey St, Newark, NY 14513Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

301 Frey St
Newark, NY 14513
Phone (315) 331-0660

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564704000000",
    "number": "1639146400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217455",
            "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": "301 FREY STREET",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145130000",
            "telephone_number": "315-331-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK-ARCADIA VOLUNTEER AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2019-08-02",
        "status": "A",
        "authorized_official_last_name": "CATALANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-331-0660"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "5839",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "590005623",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01185780",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.