Active NPI
Port Jervis Volunteer Ambulance Corps Inc
- Land Ambulance
- Port Jervis, NY
National Provider Identifier
1881655264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- PORT JERVIS VOLUNTEER AMBULANCE CORPS INC
- Practice address
- 10 Brooklyn Street
Port Jervis, NY 12771 - Phone
- (845) 856-3033
- Fax
- (845) 858-2312
- NPI assigned
- Mar 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
- Robert A Launt
- Title
- President
- Phone
- (845) 856-3033
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 10432 | NY | |
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
10 Brooklyn Street
Port Jervis, NY 12771
Mailing address
PO Box 133
Port Jervis, NY 12771-0133
Phone (845) 856-3033
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01798874 | Medicaid | NY | |
| 590012837 | Other | NY | MEDICARE 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 |
|---|---|---|---|---|
| O20060228000772 | NY | Part B Supplier - Ambulance Service Supplier | 9335155795 | Practice locations: Port Jervis, 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 |
|---|---|---|---|
| 33D2007753 | Port Jervis Volunteer Ambulance Corp | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Port Jervis Volunteer Ambcorps
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Port Jervis, NY
- NPI 1013918564
Locations
264 Route 6 and 209
Milford, PA 18337
Phone (570) 491-4121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765411200000",
"number": "1881655264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 133",
"city": "PORT JERVIS",
"state": "NY",
"postal_code": "127710133",
"telephone_number": "845-856-3033",
"fax_number": "845-858-2312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BROOKLYN STREET",
"city": "PORT JERVIS",
"state": "NY",
"postal_code": "12771",
"telephone_number": "845-856-3033",
"fax_number": "845-858-2312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORT JERVIS VOLUNTEER AMBULANCE CORPS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-28",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A",
"authorized_official_last_name": "LAUNT",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-856-3033"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NY",
"license": "10432",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01798874",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "590012837",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Jervis, NY
- Port Jervis Chiropractic, P.C.
- Port Jervis City School District
- Port Jervis Family Health NP PC
- Port Jervis Pharmacy LLC (Medicine Shoppe)
- Port Jervis Volunteer Ambcorps
- Sheila Quinn
- Ralph Edward Bowman, Physician PC
- Mary Ann Ricci, CARC
- Elaine Margaret Ridley, RD
- Rite Aid of New York Inc (Rite Aid Pharmacy 00742)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.