BALLSTON LAKE EMERGENCY SQUAD INC
NPI 1821074840
Ambulance in Ballston Lake, NY

Active since December 21, 2005CLIA 33D2335300 · Waiver
1123 BALLSTON LAKE RD, BALLSTON LAKE, NY 12019(516) 399-7066(315) 635-3289 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 23, 2026, Mar 27, 2023, Aug 3, 2020 (3 updates tracked since 2020).

About Ballston Lake Emergency Squad Inc NPPES

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

BALLSTON LAKE EMERGENCY SQUAD INC (NPI 1821074840) is a healthcare organization registered as an ambulance in Ballston Lake, New York and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists John Boyd, President, as its authorized official.

NPPES Registry Identity

NPI1821074840
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameBALLSTON LAKE EMERGENCY SQUAD INC
Location Address1123 BALLSTON LAKE RDBallston Lake, NY 12019-2331
Mailing AddressPo Box 535Baldwinsville, NY 13027-0535 · (315) 635-1789 · Fax (315) 635-3289
Fax(315) 635-3289
Organization SubpartNo
Authorized OfficialJohn BoydPresident · (518) 399-7066
Enumeration DateDecember 21, 2005
Last NPPES UpdateApril 23, 20263 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
NPI 1821074840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
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).
1123 BALLSTON LAKE RD, Ballston Lake, NY 12019

Other Identifiers 4

Other10039720Cdphp
Other324527Mvp
Medicaid01996607NY
Other590014655Palmetto Gba

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 33D2335300

Ballston Lake Emergency Squad Inc · Ballston Lake, NY
Active · expires Mar 26, 2027
CLIA Number33D2335300
Laboratory TypeAmbulance
Certificate Effective DateDecember 9, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. William T. Fisher
Laboratory Phone(518) 399-7066
Laboratory LocationBallston Lake Emergency Squad Inc1123 Rte 146A, Ballston Lake, NY 12019
CLIA data matches this NPI record on: 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.
3,113 services161 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.
124 services101 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.
95 services80 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 Ballston Lake Emergency Squad Inc's NPI number?

The NPI number for Ballston Lake Emergency Squad Inc is 1821074840. It was assigned to this organization in the NPPES registry on December 21, 2005.

Where is Ballston Lake Emergency Squad Inc located?

Ballston Lake Emergency Squad Inc is located at 1123 Ballston Lake Rd, Ballston Lake, NY 12019. The listed phone number is (516) 399-7066.

What is Ballston Lake Emergency Squad Inc's specialty?

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

Does Ballston Lake Emergency Squad Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2335300) 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 Ballston Lake Emergency Squad Inc was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.