Organization Active NPI

Superior Ambulance Service Inc

  • Ambulance
  • Binghamton, NY
National Provider Identifier
1649251067
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
09615 Issued in NY
Legal business name
SUPERIOR AMBULANCE SERVICE INC
Practice address
46 Exchange St
Binghamton, NY 13901-3804
Phone
(607) 772-1458
Fax
(607) 724-1441
NPI assigned
Nov 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Diane Marie Scott
Title
Billing Manager
Phone
(607) 723-4554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 09615 NY Primary

Addresses

Primary practice location

46 Exchange St
Binghamton, NY 13901-3804

Mailing address

PO Box 126 WVS
Binghamton, NY 13905
Phone (800) 969-9722

Other identifiers 1

IdentifierTypeStateIssuer
00602364MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090608000384 NY Part B Supplier - Ambulance Service Supplier 2860542149 Practice locations: Binghamton, 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
33D1095121Superior Ambulance Service Inc46 Exchange Street, Binghamton, NY 13901Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

46 Exchange St
Binghamton, NY 13901
Phone (315) 772-1456

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649251067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126 WVS",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13905",
            "telephone_number": "800-969-9722",
            "fax_number": "800-693-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 EXCHANGE ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139013804",
            "telephone_number": "607-772-1458",
            "fax_number": "607-724-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "607-723-4554",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "09615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00602364",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.