Organization Active NPI

Scarsdale Volunteer Ambulance Corps, Inc

  • Ambulance
  • Scarsdale, NY
National Provider Identifier
1942298344
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
5955 Issued in NY
Legal business name
SCARSDALE VOLUNTEER AMBULANCE CORPS, INC
Practice address
5 Weaver Street
Scarsdale, NY 10583
Phone
(914) 472-1125
Fax
(914) 722-2299
NPI assigned
Oct 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Mrs. Mary Gentile
Title
Authorized Agent
Phone
(800) 452-8191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 5955 NY Primary

Addresses

Primary practice location

5 Weaver Street
Scarsdale, NY 10583

Mailing address

PO Box 290184
Wethersfield, CT 06129-0184
Phone (800) 452-8191

Other identifiers 2

IdentifierTypeStateIssuer
1942298344OtherNYRAILROAD MEDICARE
01581828MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060206000773 NY Part B Supplier - Ambulance Service Supplier 6709890171 Practice locations: Scarsdale, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1060743Scarsdale Volunteer Ambulance Corps5 Weaver Street, Scarsdale, NY 10583Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

300 Heathcote Rd
Scarsdale, NY 10583
Phone (914) 472-1125

5 Weaver St
Scarsdale, NY 10583
Phone (914) 472-1125

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1942298344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290184",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061290184",
            "telephone_number": "800-452-8191",
            "fax_number": "860-563-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WEAVER STREET",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "10583",
            "telephone_number": "914-472-1125",
            "fax_number": "914-722-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCARSDALE VOLUNTEER AMBULANCE CORPS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "800-452-8191",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "5955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1942298344",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01581828",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.