Active NPI
Monroe Volunteer Ambulance Corps Inc
- Ambulance
- Monroe, NY
National Provider Identifier
1649260191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3521
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590011496 | Other | RAILROAD MEDICARE | |
| 01712298 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110408000709 | NY | Part B Supplier - Ambulance Service Supplier | 2264616671 | Practice locations: Monroe, NY |
National Provider Directory
National Provider DirectoryLocations
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
- Monroe Pediatric Associates, P.C.
- Monroe Physical Therapy Wellness, PLLC (Access Physical Therapy & Wellness)
- Monroe Physical Therapy091
- Monroe Primary Care Medical PC
- Monroe Visions
- Mark Harlan Monte, PHYSICAL THERAPIST
- Montefiore Medical Center
- Montefiore Medical Center
- Montefiore Medical Center
- Barbara Ann Monteverde, FAMILY NURSE PRACTIT
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.