City of Utica

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6209 Issued in NY

Legal business name

CITY OF UTICA

Practice address

1217 Park Ave
1 Kennedy Plaza
Utica, NY 13501-3807

Phone

(585) 768-2192

NPI assigned

Mar 1, 2006

Last updated

Apr 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Russell Brooks

Title

Chief

Phone

(585) 768-2192

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1013984756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 186",
            "city": "LE ROY",
            "state": "NY",
            "postal_code": "144820186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 PARK AVE",
            "address_2": "1 KENNEDY PLAZA",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135013807",
            "telephone_number": "585-768-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF UTICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "585-768-2192"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "6209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02717848",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00251125",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kari Ann Cieslak, OTR/L
• Kathleen Ann Cima, DSW
• Karishma Circelli, MD
• Krista Leigh Circelli, LMSW
• Jennifer Cittadino
• Dexter Clark
• Elizabeth M Clark, LCSW
• Eric Lynell Clark, RPA-C
• Jane Marie Clark, LMSW
• Colleen Clemons

• Land Ambulance in Utica, NY
• Providers in Utica, 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 Apr 22, 2008; 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.

Verify at the official NPI Registry.