Organization Active NPI

Tarrytown Volunteer Ambulance Corps, Inc.

  • Ambulance
  • Tarrytown, NY
National Provider Identifier
1649268046
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
5961 Issued in NY
Legal business name
TARRYTOWN VOLUNTEER AMBULANCE CORPS, INC.
Practice address
145 W Franklin St
Tarrytown, NY 10591-3607
Phone
(914) 631-6469
Fax
(914) 631-6469
NPI assigned
Oct 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Mr. Michael Husband
Title
Authorized Agent
Phone
(914) 631-6469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 5961 NY Primary

Addresses

Primary practice location

145 W Franklin St
Tarrytown, NY 10591-3607

Mailing address

PO Box 519
Tarrytown, NY 10591-0519
Phone (914) 366-4004

Other identifiers 2

IdentifierTypeStateIssuer
01470433MedicaidNY
590008399OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071221000228 NY Part B Supplier - Ambulance Service Supplier 2769572106 Practice locations: Tarrytown, 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
33D2086609Tarrytown Volunteer Ambulance Corps145 W Franklin Street, Tarrytown, NY 10591Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

141 W Franklin St
Tarrytown, NY 10591
Phone (914) 631-6469

145 W Franklin St
Tarrytown, NY 10591
Phone (914) 631-6469

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1649268046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105910519",
            "telephone_number": "914-366-4004",
            "fax_number": "914-366-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W FRANKLIN ST",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105913607",
            "telephone_number": "914-631-6469",
            "fax_number": "914-631-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRYTOWN VOLUNTEER AMBULANCE CORPS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "HUSBAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "914-631-6469",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "5961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01470433",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590008399",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.