Organization Active NPI

Town of Pelham

  • Land Ambulance
  • Pelham, NY
National Provider Identifier
1659136083
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF PELHAM
Practice address
34 Fifth Ave
Pelham, NY 10803-1550
Phone
(914) 738-1021
NPI assigned
Feb 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Raffella Szymanski
Title
Deputy Supervisor
Phone
(914) 738-1021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

34 Fifth Ave
Pelham, NY 10803-1550

Mailing address

34 Fifth Ave
Pelham, NY 10803-1550
Phone (914) 738-1021

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240408000099 NY Part B Supplier - Ambulance Service Supplier 4183062367 Practice locations: Pelham, NY

National Provider Directory

National Provider Directory

Locations

34 Fifth Ave
Pelham, NY 10803
Phone (914) 738-1021

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1659136083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 FIFTH AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031550",
            "telephone_number": "914-738-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 FIFTH AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031550",
            "telephone_number": "914-738-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF PELHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "SZYMANSKI",
        "authorized_official_first_name": "RAFFELLA",
        "authorized_official_title_or_position": "DEPUTY SUPERVISOR",
        "authorized_official_telephone_number": "914-738-1021"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.