Organization Active NPI

Monroe Volunteer Ambulance Corps Inc

  • Ambulance
  • Monroe, NY
National Provider Identifier
1649260191
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3521 Issued in NY
Legal business name
MONROE VOLUNTEER AMBULANCE CORPS INC
Practice address
100 Ramapo Ave
Monroe, NY 10950-3410
Phone
(845) 774-3599
NPI assigned
Oct 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Ms. Wayne Chan
Title
President
Phone
(845) 774-3599

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3521 NY Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

100 Ramapo Ave
Monroe, NY 10950-3410

Mailing address

PO Box 553
Monroe, NY 10949-0553
Phone (845) 774-3599

Other identifiers 2

IdentifierTypeStateIssuer
590011496OtherRAILROAD MEDICARE
01712298MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110408000709 NY Part B Supplier - Ambulance Service Supplier 2264616671 Practice locations: Monroe, NY

National Provider Directory

National Provider Directory

Locations

41 Carpenter Pl
Monroe, NY 10950
Phone (845) 774-3599

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1649260191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 553",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109490553",
            "telephone_number": "845-774-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RAMAPO AVE",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503410",
            "telephone_number": "845-774-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE VOLUNTEER AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-774-3599",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "3521",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590011496",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01712298",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.