Organization Active NPI

Cazenovia Area Volunteer Ambulance Corps Inc

  • Land Ambulance
  • Cazenovia, NY
National Provider Identifier
1841273026
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CAZENOVIA AREA VOLUNTEER AMBULANCE CORPS INC
Practice address
106 Nelson St
Cazenovia, NY 13035
Phone
(315) 655-9798
NPI assigned
Nov 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Mr. Dennis Goldmann
Title
Treasurer
Phone
(315) 655-0300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 09580 NY
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

106 Nelson St
Cazenovia, NY 13035

Mailing address

892 New Castle Rd
Slippery Rock, PA 16057-4228
Phone (800) 280-5974

Other identifiers 3

IdentifierTypeStateIssuer
38441BOtherMEDICARE
01793571MedicaidNY
590012586OtherPALMETTO GBA-RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100924000817 NY Part B Supplier - Ambulance Service Supplier 9931225125 Practice locations: Cazenovia, 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
33D1101558Cazenovia Area Volunteer Ambulance Corp106 Nelson Street, Cazenovia, NY 13035Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

106 Nelson St
Cazenovia, NY 13035
Phone (315) 655-9798

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1841273026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 NEW CASTLE RD",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160574228",
            "telephone_number": "800-280-5974",
            "fax_number": "724-234-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 NELSON ST",
            "city": "CAZENOVIA",
            "state": "NY",
            "postal_code": "13035",
            "telephone_number": "315-655-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAZENOVIA AREA VOLUNTEER AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "GOLDMANN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "315-655-0300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "09580",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "38441B",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01793571",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RAILROAD",
            "identifier": "590012586",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cazenovia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.