City of Watervliet

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF WATERVLIET

Practice address

116 13 Street
Watervliet, NY 12189-3350

Phone

(518) 270-3830

Fax

(518) 270-5273

NPI assigned

Nov 24, 2008

Organization subpart

No

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

Authorized official

Name

Amanda L. Austin

Title

Director of Finance

Phone

(518) 270-3800

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1962657569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 MAIN STREET",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217455",
            "telephone_number": "716-204-3350",
            "fax_number": "716-247-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 13 STREET",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121893350",
            "telephone_number": "518-270-3830",
            "fax_number": "518-270-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WATERVLIET",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "518-270-3800"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "NY",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P01007723",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03093056",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Burdick
• Dayle Carhart-Davis, DPT, PT
• Sierra Jane Caruso
• Tracie Casullo, MS, ED
• Center for Disability Services
• Michael Clarkson-Hendrix, LCSW-R
• Christina Renee Clifford, LPN
• Rachel Cody
• Paige Ashley Cook
• Ashley Thanh Dang, FNP-BC

• Land Ambulance in Watervliet, NY
• Providers in Watervliet, 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 May 1, 2023; 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.