Priority Ambulance New York LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PRIORITY AMBULANCE NEW YORK LLC

Doing business as

Lake Valley EMS

Practice address

24 Gardner PL
Amsterdam, NY 12010-2000

Phone

(518) 843-1150

NPI assigned

Apr 11, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert A. Jewell

Title

Chief Revenue Integration Officer

Phone

(844) 597-4911

Specialties & licenses 1

Addresses

Other names 2

• Lake Valley EMS Doing business as
• PRIORITY AMBULANCE NEW JERSEY LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1912692328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CATHERINE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135011211",
            "telephone_number": "315-724-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 GARDNER PL",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120102000",
            "telephone_number": "518-843-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY AMBULANCE NEW YORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF REVENUE INTEGRATION OFFICER",
        "authorized_official_telephone_number": "844-597-4911"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Valley EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PRIORITY AMBULANCE NEW JERSEY LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Grace A Pfeifer, PMHNP
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• Lesley Plaskett, CNA
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• Wendy Marie Quay
• Nancy A Radigan, D.C.
• Govind C K Rao, MD

• Land Ambulance in Amsterdam, NY
• Providers in Amsterdam, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.

Verify at the official NPI Registry.