Active NPI
Cazenovia Area Volunteer Ambulance Corps Inc
- Land Ambulance
- Cazenovia, NY
National Provider Identifier
1841273026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38441B | Other | MEDICARE | |
| 01793571 | Medicaid | NY | |
| 590012586 | Other | PALMETTO GBA-RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100924000817 | NY | Part B Supplier - Ambulance Service Supplier | 9931225125 | Practice locations: Cazenovia, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1101558 | Cazenovia Area Volunteer Ambulance Corp | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.