Organization Active NPI

Greene Emergency Squad Inc

  • Land Ambulance
  • Greene, NY
National Provider Identifier
1043241599
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
31627 Issued in NY
Legal business name
GREENE EMERGENCY SQUAD INC
Practice address
30 Birdsall St
Greene, NY 13778-1050
Phone
(607) 656-5688
Fax
(607) 656-5677
NPI assigned
Jul 5, 2006
Last updated
May 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
James Strenkert
Title
Captain
Phone
(607) 656-5688

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 12671 NY
Land Ambulance 3416L0300X 31627 NY Primary

Addresses

Primary practice location

30 Birdsall St
Greene, NY 13778-1050

Mailing address

PO Box 4110, Dept 330
Woburn, MA 01888-4110
Phone (607) 656-5688

Other identifiers 2

IdentifierTypeStateIssuer
BA0808OtherNYMEDICARE
02743346MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060223000319 NY Part B Supplier - Ambulance Service Supplier 1759397037 Practice locations: Greene, NY

National Provider Directory

National Provider Directory

Locations

30 Birdsall St
Greene, NY 13778
Phone (607) 336-3522

8 N Canal St
Greene, NY 13778
Phone (607) 656-5688

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1043241599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4110, DEPT 330",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018884110",
            "telephone_number": "607-656-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BIRDSALL ST",
            "city": "GREENE",
            "state": "NY",
            "postal_code": "137781050",
            "telephone_number": "607-656-5688",
            "fax_number": "607-656-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE EMERGENCY SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "STRENKERT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "607-656-5688"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "12671",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "31627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "BA0808",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02743346",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greene, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.