Town of Wallkill Volunteer Ambulance Corps

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

31677 Issued in NY

Legal business name

TOWN OF WALLKILL VOLUNTEER AMBULANCE CORPS

Practice address

22 Maltese Drive
Middletown, NY 10940-3317

Phone

(845) 342-9977

NPI assigned

Mar 24, 2006

Organization subpart

No

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

Authorized official

Name

Eileen Mancuso

Title

President

Phone

(845) 692-3173

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1659331510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 SHERIDAN DR",
            "address_2": "SUITE 3B",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213730",
            "telephone_number": "716-204-3350",
            "fax_number": "716-634-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MALTESE DRIVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403317",
            "telephone_number": "845-342-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WALLKILL VOLUNTEER AMBULANCE CORPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "MANCUSO",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-692-3173"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "31677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01814126",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "590015600",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Torres, LPN
• John Peter Tortorella, MD
• Touro College of Osteopathic Medicine Omm Clinic
• Patrice Toussaint-Corielus, LCSW
• Marie Sergine Touzin, NP, PMHNP
• Claydean Antoinette Townsend, RN
• Jessica Trainor, LMSW
• Caitlin Tramontozzi, LMSW
• Nicole Trapani, FNP
• Kevin Trapp, MD

• Land Ambulance in Middletown, NY
• Providers in Middletown, NY by specialty
• Land Ambulance in New York

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