Active NPI
North Area Volunteer Ambulance Corps Inc
- Ambulance
- North Syracuse, NY
National Provider Identifier
1972566248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 09864
- Legal business name
- NORTH AREA VOLUNTEER AMBULANCE CORPS INC
- Practice address
- 603 N Main St
North Syracuse, NY 13212-1609 - Phone
- (315) 458-7514
- NPI assigned
- Apr 8, 2006
- Last updated
- Apr 21, 2023
- 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
- Kathy Laduca
- Title
- Director of Administration
- Phone
- (315) 458-7514
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 09864 | NY | Primary |
Addresses
Primary practice location
603 N Main St
North Syracuse, NY 13212-1609
Mailing address
PO Box 535
Baldwinsville, NY 13027-0535
Phone (315) 635-1789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01225603 | 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 |
|---|---|---|---|---|
| O20081118000030 | NY | Part B Supplier - Ambulance Service Supplier | 2860552387 | Practice locations: North Syracuse, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0890243 | North Area Volunteer Ambulance Corps Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
603 N Main St
North Syracuse, NY 13212
Phone (315) 458-7514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682035200000",
"number": "1972566248",
"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": "315-635-1789",
"fax_number": "315-635-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 N MAIN ST",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132121609",
"telephone_number": "315-458-7514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH AREA VOLUNTEER AMBULANCE CORPS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-08",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A",
"authorized_official_last_name": "LADUCA",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
"authorized_official_telephone_number": "315-458-7514"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NY",
"license": "09864",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01225603",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.