Organization Active NPI

Lafayette Ambulance Department Inc

  • Ambulance
  • La Fayette, NY
National Provider Identifier
1912079286
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0401 Issued in NY
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

Updated by the provider on Dec 15, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01273770MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170607000387 NY Part B Supplier - Ambulance Service Supplier 3274800651 Practice locations: La Fayette, NY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.