Medford Volunteer Ambulance, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MEDFORD VOLUNTEER AMBULANCE, INC.

Practice address

1005 Sipp Ave
Medford, NY 11763-4052

Phone

(631) 624-4238

NPI assigned

Oct 15, 2019

Organization subpart

No

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

Authorized official

Name

Robert Simpson

Title

Chief

Phone

(631) 484-8440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1841832573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 SIPP AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117634052",
            "telephone_number": "631-484-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 SIPP AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117634052",
            "telephone_number": "631-624-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD VOLUNTEER AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "631-484-8440"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry L. McPherson-Berg, LCSW-R
• Medford Chemists Inc.
• Medford Compounding & Specialty Pharmacy LLC
• Medford Dialysis Access P.C.
• Medford Hamlet, LLC
• Medivault Labs
• Laura Ruth Melilli, LPN
• Melissa Stockman Adult Care NP PC
• Mauricio Mendez Sandoval, OD
• Amy Lynne Menditto

• Land Ambulance in Medford, NY
• Providers in Medford, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.