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LINDENWOOD COMMUNITY VOLUNTEER AMBULANCE CORPS
NPI 1124018593
Ambulance in Ozone Park, NY

Active since October 26, 2005CLIA 33D2176061 · Waiver
9410 133RD AVE, OZONE PARK, NY 11417(718) 738-3029(718) 641-6464 Get Directions Write a Review

NPPES record last updated: October 1, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lindenwood Community Volunteer Ambulance Corps NPPES

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

LINDENWOOD COMMUNITY VOLUNTEER AMBULANCE CORPS (NPI 1124018593) is a healthcare organization registered as an ambulance in Ozone Park, New York and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Mary T Gentile, Authorized Agent, as its authorized official.

NPPES Registry Identity

NPI1124018593
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameLINDENWOOD COMMUNITY VOLUNTEER AMBULANCE CORPS
Location Address9410 133RD AVEOzone Park, NY 11417-2022
Mailing AddressPo Box 290184Wethersfield, CT 06129-0184 · (860) 257-9201 · Fax (860) 721-6362
Phone(718) 738-3029
Fax(718) 641-6464
Organization SubpartNo
Authorized OfficialMary T GentileAuthorized Agent · (860) 257-9201
Enumeration DateOctober 26, 2005
Last NPPES UpdateOctober 1, 2008
✔ NPI 1124018593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in NY · 7353
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
9410 133RD AVE, Ozone Park, NY 11417
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Other Identifiers 3

Medicaid01440179NY
Medicare PIN01543NY
Other590008132Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lindenwood Community Volunteer Ambulance Corps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20090304000454Non-DME Part B · Ambulance Service SupplierDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 33D2176061

Lindenwood Community Volunteer Ambulance Corps Inc · Ozone Park, NY
Active · expires Mar 26, 2027
CLIA Number33D2176061
Laboratory TypeAmbulance
Certificate Effective DateDecember 6, 2019
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Shi Wen G. Lee
Laboratory Phone(718) 738-3029
Laboratory LocationLindenwood Community Volunteer Ambulance Corps Inc94-10 133rd Ave, Ozone Park, NY 11417
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Lindenwood Community Volunteer Ambulance Corps's NPI number?

The NPI number for Lindenwood Community Volunteer Ambulance Corps is 1124018593. It was assigned to this organization in the NPPES registry on October 26, 2005.

Where is Lindenwood Community Volunteer Ambulance Corps located?

Lindenwood Community Volunteer Ambulance Corps is located at 9410 133rd Ave, Ozone Park, NY 11417. The listed phone number is (718) 738-3029.

What is Lindenwood Community Volunteer Ambulance Corps's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Is Lindenwood Community Volunteer Ambulance Corps enrolled in Medicare?

Yes. Lindenwood Community Volunteer Ambulance Corps is registered in the Medicare PECOS enrollment system.

When is Lindenwood Community Volunteer Ambulance Corps's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Ambulance Service Supplier) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Lindenwood Community Volunteer Ambulance Corps hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2176061) 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 Lindenwood Community Volunteer Ambulance Corps was last updated on October 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.