Middlesex Valley Volunteer Ambulance Service, Inc.

Primary specialty

Water AmbulanceTaxonomy code 3416S0300X

Legal business name

MIDDLESEX VALLEY VOLUNTEER AMBULANCE SERVICE, INC.

Practice address

817 State Route 245
Middlesex, NY 14507

Phone

(585) 554-6657

Fax

(585) 554-1073

NPI assigned

Aug 13, 2021

Organization subpart

No

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

Authorized official

Name

Jason C. Johnson

Title

President

Phone

(585) 554-6657

Specialties & licenses 1

Addresses

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": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1639844301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 MAIN STREET",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217455",
            "telephone_number": "716-704-3350",
            "fax_number": "713-247-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 STATE ROUTE 245",
            "city": "MIDDLESEX",
            "state": "NY",
            "postal_code": "14507",
            "telephone_number": "585-554-6657",
            "fax_number": "585-554-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX VALLEY VOLUNTEER AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-554-6657"
    },
    "taxonomies": [
        {
            "code": "3416S0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Water Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony David Cerneskie, CCC/SLP
• Carla Jean Freeland, LPN
• Patrick J Gill, PHD
• Jody Leigh Henry, L.AC, LMT
• Alice Andrews Loveys, M.D.
• Jean Holtz Paddock, RN
• Lucian Anthony Sacheli
• Lisa J Walker, LPN

• Water Ambulance in Middlesex, NY
• Providers in Middlesex, NY by specialty
• Water Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.