Organization Active NPI

City of Oswego

  • Land Ambulance
  • Oswego, NY
National Provider Identifier
1659370518
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
10009 Issued in NY
Legal business name
CITY OF OSWEGO
Practice address
35 E Cayuga St
Oswego, NY 13126-1151
Phone
(315) 343-2161
NPI assigned
Jul 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Deborah P Coad
Title
City Chamberlain
Phone
(315) 342-8107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 10009 NY Primary

Addresses

Primary practice location

35 E Cayuga St
Oswego, NY 13126-1151

Mailing address

PO Box 535
Baldwinsville, NY 13027-0535
Phone (315) 635-1789

Other identifiers 1

IdentifierTypeStateIssuer
01091712MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050406000851 NY Part B Supplier - Ambulance Service Supplier 3971550443 Practice locations: Oswego, 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
33D2136532City of Oswego Fire Department35 E Cayuga Street, Oswego, NY 13126Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

35 E Cayuga St
Oswego, NY 13126
Phone (315) 342-8105

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1659370518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130270535",
            "telephone_number": "315-635-1789",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E CAYUGA ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261151",
            "telephone_number": "315-343-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF OSWEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "COAD",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CITY CHAMBERLAIN",
        "authorized_official_telephone_number": "315-342-8107"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "10009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01091712",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.