North Brookfield Emergency Squad

Primary specialty

AmbulanceTaxonomy code 341600000X

License

3295 Issued in MA

Legal business name

NORTH BROOKFIELD EMERGENCY SQUAD

Practice address

56 School St
North Brookfield, MA 01535-1927

Phone

(508) 867-6308

NPI assigned

Dec 19, 2005

Organization subpart

No

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

Authorized official

Name

Pat Kiritsy

Title

Chief

Phone

(508) 867-6308

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1124004486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TURCOTTE MEMORIAL DR",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691706",
            "telephone_number": "800-488-4351",
            "fax_number": "978-356-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 SCHOOL ST",
            "city": "NORTH BROOKFIELD",
            "state": "MA",
            "postal_code": "015351927",
            "telephone_number": "508-867-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BROOKFIELD EMERGENCY SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "KIRITSY",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "508-867-6308"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET PLAN",
            "identifier": "000000028196",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700669",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590010496",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH",
            "identifier": "337448",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0019310",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "070059",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "604270",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Haupt, MA
• Nikki Lynn Holway
• Jennifer Damico Oconnor
• Sarah Ann Lamas
• Susanna Lebedinskaya
• North Brookfield Primary Care
• Timothy Albert Oconnor, OD
• Albert Byron Olivera, MSN, APRN, FNP-C
• Caroline Orlando, NP
• Jennifer Catherine Para, CNP

• Ambulance in North Brookfield, MA
• Providers in North Brookfield, MA by specialty
• Ambulance in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.