Active NPI
Lafayette Ambulance Department Inc
- Ambulance
- La Fayette, NY
National Provider Identifier
1912079286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0401
- Legal business name
- LAFAYETTE AMBULANCE DEPARTMENT INC
- Practice address
- 2444 Rte 11 South
Lafayette, NY 13084 - Phone
- (315) 677-3400
- Fax
- (315) 677-3417
- NPI assigned
- Nov 14, 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
- Ashlie Carrier
- Title
- Treasurer
- Phone
- (315) 677-3400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 0401 | NY | Primary |
Addresses
Primary practice location
2444 Rte 11 South
Lafayette, NY 13084
Mailing address
PO Box 535
Baldwinsville, NY 13027-0535
Phone (800) 927-5845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01273770 | 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 |
|---|---|---|---|---|
| O20170607000387 | NY | Part B Supplier - Ambulance Service Supplier | 3274800651 | Practice locations: La Fayette, NY |
National Provider Directory
National Provider DirectoryLocations
2444 US Route 11
La Fayette, NY 13084
Phone (315) 677-3400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765756800000",
"number": "1912079286",
"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": "800-927-5845",
"fax_number": "315-635-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2444 RTE 11 SOUTH",
"city": "LAFAYETTE",
"state": "NY",
"postal_code": "13084",
"telephone_number": "315-677-3400",
"fax_number": "315-677-3417"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAFAYETTE AMBULANCE DEPARTMENT INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A",
"authorized_official_last_name": "CARRIER",
"authorized_official_first_name": "ASHLIE",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "315-677-3400"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NY",
"license": "0401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01273770",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Fayette, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.