Active NPI
Lewisboro Volunteer Ambulance Corps, Inc
- Land Ambulance
- Cross River, NY
National Provider Identifier
1760895379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 5971
- Legal business name
- LEWISBORO VOLUNTEER AMBULANCE CORPS, INC
- Practice address
- 777 Route 35
Cross River, NY 10518-1147 - Phone
- (914) 763-3574
- NPI assigned
- Jun 11, 2014
- Last updated
- Jun 18, 2014
- 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
- Douglas E. Hux
- Title
- Treasurer
- Phone
- (914) 763-3574
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 5971 | NY | Primary |
Addresses
Primary practice location
777 Route 35
Cross River, NY 10518-1147
Mailing address
777 RT 35
P.O. Box 41
South Salem, NY 10590-0041
Phone (914) 763-3574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141104001407 | NY | Part B Supplier - Ambulance Service Supplier | 0749402907 | Practice locations: Cross River, NY |
National Provider Directory
National Provider DirectoryLocations
777 Route 35
Cross River, NY 10518
Phone (914) 763-3574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403049600000",
"number": "1760895379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 RT 35",
"address_2": "P.O. BOX 41",
"city": "SOUTH SALEM",
"state": "NY",
"postal_code": "105900041",
"telephone_number": "914-763-3574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 ROUTE 35",
"city": "CROSS RIVER",
"state": "NY",
"postal_code": "105181147",
"telephone_number": "914-763-3574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEWISBORO VOLUNTEER AMBULANCE CORPS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-11",
"last_updated": "2014-06-18",
"status": "A",
"authorized_official_last_name": "HUX",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "914-763-3574"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NY",
"license": "5971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cross River, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.