Active NPI
Troy Ambulance Service, Inc
- Land Ambulance
- Clifton Park, NY
National Provider Identifier
1740294685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 10160
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00549019 | Medicaid | NY | |
| 590002205 | Other | RAILROAD MEDICARE |
Other names 1
- EMPIRE AMBULANCE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090717000190 | NY | Part B Supplier - Ambulance Service Supplier | 5496669038 | Practice locations: Troy, NY |
National Provider Directory
National Provider DirectoryLocations
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.