John H Ahearn Jr Rescue Squad Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

4520 Issued in NY

Legal business name

JOHN H AHEARN JR RESCUE SQUAD INC

Practice address

58 N Central Ave
Mechanicville, NY 12118-1514

Phone

(518) 664-8354

Fax

(518) 664-8354

NPI assigned

Oct 26, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Mary T Gentile

Title

Authorized Agent

Phone

(860) 257-9201

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1114917507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290184",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061290184",
            "telephone_number": "860-257-9201",
            "fax_number": "860-721-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 N CENTRAL AVE",
            "city": "MECHANICVILLE",
            "state": "NY",
            "postal_code": "121181514",
            "telephone_number": "518-664-8354",
            "fax_number": "518-664-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H AHEARN JR RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "860-257-9201",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "4520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014728",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02227645",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria C. Hicks, O.T.
• Jacob Ryan Hildebrand, PHARMD
• Wayne A Hogan, D.C.
• Donna Jeanne Hopping, LPN
• Jan Patterson MD PC
• Robert I Kaplan, MD
• Valerie P Keen, MS.,CCC-SLP
• Sydney Erin King, PHARMD
• Laura Lynch Krosky, CCC-SLP
• Emily S Lajeunesse-Duncan, D.C.

• Ambulance in Mechanicville, NY
• Providers in Mechanicville, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.