Organization Active NPI

Delmar Volunteer Ambulance Service, Inc.

  • Land Ambulance
  • Delmar, NY
National Provider Identifier
1639322019
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0867 Issued in NY
Legal business name
DELMAR VOLUNTEER AMBULANCE SERVICE, INC.
Practice address
145 Adams St
Delmar, NY 12054-3200
Phone
(518) 473-7310
NPI assigned
Oct 29, 2008
Last updated
Oct 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Steven Kroll
Title
Director of Operations
Phone
(518) 473-7310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0867 NY Primary

Addresses

Primary practice location

145 Adams St
Delmar, NY 12054-3200

Mailing address

8020 E Main Rd
Le Roy, NY 14482-9704
Phone (585) 768-2192

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081213000067 NY Part B Supplier - Ambulance Service Supplier 9032270715 Practice locations: Delmar, NY

National Provider Directory

National Provider Directory

Locations

145 Adams St
Delmar, NY 12054
Phone (518) 473-7310

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1639322019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 E MAIN RD",
            "city": "LE ROY",
            "state": "NY",
            "postal_code": "144829704",
            "telephone_number": "585-768-2192",
            "fax_number": "585-768-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 ADAMS ST",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120543200",
            "telephone_number": "518-473-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMAR VOLUNTEER AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "KROLL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "518-473-7310"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "0867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.