Active NPI
Ontario Volunteer Emergency Squad
- Land Ambulance
- Ontario, NY
National Provider Identifier
1881660736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 5820
- Legal business name
- ONTARIO VOLUNTEER EMERGENCY SQUAD
- Practice address
- 6132 Furnace Road
Ontario, NY 14519-8973 - Phone
- (315) 524-5751
- NPI assigned
- Feb 28, 2006
- Last updated
- Dec 16, 2022
- 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
- Caitlin Wood
- Title
- Board Member
- Phone
- (585) 713-9211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 5820 | NY | Primary |
Addresses
Primary practice location
6132 Furnace Road
Ontario, NY 14519-8973
Mailing address
8610 Main Street
Williamsville, NY 14221-7455
Phone (716) 204-3350
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PONTVOLEMSQ | Other | NY | MONROE PLAN |
| 01709860 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040324000432 | NY | Part B Supplier - Ambulance Service Supplier | 4486545795 | Practice locations: Ontario, 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 |
|---|---|---|---|
| 33D1063415 | Ontario Volunteer Emergency Squad | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
6132 Furnace Rd
Ontario, NY 14519
Phone (315) 524-5751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671148800000",
"number": "1881660736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8610 MAIN STREET",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142217455",
"telephone_number": "716-204-3350",
"fax_number": "716-247-5274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6132 FURNACE ROAD",
"city": "ONTARIO",
"state": "NY",
"postal_code": "145198973",
"telephone_number": "315-524-5751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONTARIO VOLUNTEER EMERGENCY SQUAD",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-28",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A",
"authorized_official_last_name": "WOOD",
"authorized_official_first_name": "CAITLIN",
"authorized_official_title_or_position": "BOARD MEMBER",
"authorized_official_telephone_number": "585-713-9211"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NY",
"license": "5820",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MONROE PLAN",
"identifier": "PONTVOLEMSQ",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01709860",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.