PHELPS AMBULANCE, INC.
NPI 1013975994
Ambulance - Land Transport in Phelps, NY

Active since May 02, 2006CLIA 33D1106170 · Waiver
79 ONTARIO STREET, PHELPS, NY 14532(315) 548-3862(315) 548-2552 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2025, Sep 10, 2021, Aug 22, 2020 (3 updates tracked since 2020).

About Phelps Ambulance, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHELPS AMBULANCE, INC. (NPI 1013975994) is a healthcare organization registered as a land transport in Phelps, New York and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Ronald Nieskes, President, as its authorized official.

NPPES Registry Identity

NPI1013975994
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NamePHELPS AMBULANCE, INC.
Location Address79 ONTARIO STREETPhelps, NY 14532-0000
Mailing AddressPo Box 81Phelps, NY 14532-0081 · (315) 548-3862
Fax(315) 548-2552
Organization SubpartNo
Authorized OfficialRonald NieskesPresident · (315) 521-7510
Enumeration DateMay 2, 2006
Last NPPES UpdateDecember 15, 20253 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
NPI 1013975994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License Licensed in NY · 10182
79 ONTARIO STREET, Phelps, NY 14532

Other Identifiers 1

Medicaid02670304NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1106170

Phelps Ambulance Inc · Phelps, NY
Active · expires Mar 26, 2027
CLIA Number33D1106170
Laboratory TypeAmbulance
Certificate Effective DateOctober 7, 2009
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Scott M. Glick
Laboratory Phone(315) 548-3862
Laboratory LocationPhelps Ambulance Inc79 Ontario Street, Phelps, NY 14532
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
466 services44 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
41 services28 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
35 services27 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phelps Ambulance, Inc.'s NPI number?

The NPI number for Phelps Ambulance, Inc. is 1013975994. It was assigned to this organization in the NPPES registry on May 2, 2006.

Where is Phelps Ambulance, Inc. located?

Phelps Ambulance, Inc. is located at 79 Ontario Street, Phelps, NY 14532. The listed phone number is (315) 548-3862.

What is Phelps Ambulance, Inc.'s specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Phelps Ambulance, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1106170) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Phelps Ambulance, Inc. was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.