Active NPI
Carmel Volunteer Ambulance Corporation
- Ambulance
- Carmel, NY
National Provider Identifier
1902889181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 10334
- Legal business name
- CARMEL VOLUNTEER AMBULANCE CORPORATION
- Practice address
- 6 Garrett PL
Carmel, NY 10512-1306 - Phone
- (845) 225-7000
- Fax
- (845) 225-7166
- 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
- John Koster
- Title
- President
- Phone
- (845) 225-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 10334 | NY | Primary |
Addresses
Primary practice location
6 Garrett PL
Carmel, NY 10512-1306
Mailing address
PO Box 535
Baldwinsville, NY 13027-0535
Phone (315) 635-1789
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00225904 | Other | PALMETTO GBA RAILROAD | |
| 02654011 | 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 |
|---|---|---|---|---|
| O20050421001019 | NY | Part B Supplier - Ambulance Service Supplier | 9133167927 | Practice locations: Carmel, 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 |
|---|---|---|---|
| 33D2046206 | Carmel Volunteer Ambulance Corporation | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Basic Emergency Medical Technician
- Carmel, NY
- NPI 1538856729
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": "1343174400000",
"number": "1902889181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 535",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130270535",
"telephone_number": "315-635-1789",
"fax_number": "315-635-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 GARRETT PL",
"city": "CARMEL",
"state": "NY",
"postal_code": "105121306",
"telephone_number": "845-225-7000",
"fax_number": "845-225-7166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARMEL VOLUNTEER AMBULANCE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-22",
"last_updated": "2012-07-25",
"status": "A",
"authorized_official_last_name": "KOSTER",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-225-7000"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NY",
"license": "10334",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA RAILROAD",
"identifier": "P00225904",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02654011",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.