Town of New Berlin

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6234 Issued in NY

Legal business name

TOWN OF NEW BERLIN

Practice address

30 N. Main Street
New Berlin, NY 13411

Phone

(607) 847-8909

Fax

(607) 847-6158

NPI assigned

Jun 1, 2012

Last updated

Sep 17, 2020By 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

Mr. Robert Starr

Title

Town Supervisor

Phone

(607) 847-8910

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1114288537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130270535",
            "telephone_number": "315-635-1789",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N. MAIN STREET",
            "city": "NEW BERLIN",
            "state": "NY",
            "postal_code": "13411",
            "telephone_number": "607-847-8909",
            "fax_number": "607-847-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF NEW BERLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "STARR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "TOWN SUPERVISOR",
        "authorized_official_telephone_number": "607-847-8910",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "6234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03520050",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly A Meyers
• New Berlin Family Practice
• Curtis David Salzman, OT
• Patricia J Smith, LPN
• Jessica Heather Stratton, RN
• Town of Pittsfield
• Clara J Tuttle, LPN
• Unadilla Valley Central School
• Village of New Berlin
• Jennifer Marie Wellenstein, OTR

• Land Ambulance in New Berlin, NY
• Providers in New Berlin, 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 Sep 17, 2020; 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.