Peekskill Community Volunteer Ambulance Corp

Primary specialty

AmbulanceTaxonomy code 341600000X

License

10136 Issued in NY

Legal business name

PEEKSKILL COMMUNITY VOLUNTEER AMBULANCE CORP

Practice address

1427 Main St
Peekskill, NY 10566

Phone

(914) 737-5310

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Maureen Connolly

Title

Treasurer

Phone

(914) 755-0450

Specialties & licenses 1

Addresses

Other identifiers 4

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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1740215698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5442",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100875442",
            "telephone_number": "914-737-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 MAIN ST",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "10566",
            "telephone_number": "914-737-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEEKSKILL COMMUNITY VOLUNTEER AMBULANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "914-755-0450",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "PEOA070510",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01402400",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "319895",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9599745",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul R Edelman OD PC
• Alexis Pedroso, CASAC-T
• Peekskill Chemists LLC
• Peekskill City School District
• Peekskill City School District
• Peekskill Dental Associates PC
• Peekskill Pharmacy Inc
• Genesis Pelegrin
• Gina Pellicci, LMSW
• Personalized Counseling Services

• Ambulance in Peekskill, NY
• Providers in Peekskill, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.