Organization Active NPI

Troy Ambulance Service, Inc

  • Land Ambulance
  • Clifton Park, NY
National Provider Identifier
1740294685
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
10160 Issued in NY
Legal business name
TROY AMBULANCE SERVICE, INC
Practice address
14 Corporate Dr
Clifton Park, NY 12065-8607
Phone
(518) 235-7670
Fax
(518) 235-7601
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Mr. Christopher M Alvaro
Title
Cfo
Phone
(518) 235-7670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 10160 NY Primary

Addresses

Primary practice location

14 Corporate Dr
Clifton Park, NY 12065-8607

Mailing address

14 Corporate Dr
Clifton Park, NY 12065-8607
Phone (518) 235-7670

Other identifiers 2

IdentifierTypeStateIssuer
00549019MedicaidNY
590002205OtherRAILROAD MEDICARE

Other names 1

  • EMPIRE AMBULANCE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090717000190 NY Part B Supplier - Ambulance Service Supplier 5496669038 Practice locations: Troy, NY

National Provider Directory

National Provider Directory

Locations

14 Corporate Dr
Halfmoon, NY 12065
Phone (518) 235-7670

779 River St
Troy, NY 12180
Phone (518) 235-7670

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1740294685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CORPORATE DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120658607",
            "telephone_number": "518-235-7670",
            "fax_number": "518-235-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CORPORATE DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120658607",
            "telephone_number": "518-235-7670",
            "fax_number": "518-235-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "ALVARO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "518-235-7670",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "10160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00549019",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590002205",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMPIRE AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.