Johnsburg Emergency Squad Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

JOHNSBURG EMERGENCY SQUAD INC

Practice address

624 Peaceful Valley Road
North Creek, NY 12853

Phone

(518) 251-2244

Fax

(518) 251-2257

NPI assigned

Dec 6, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Charles Connelly

Title

President

Phone

(518) 812-5282

Specialties & licenses 2

Addresses

Other identifiers 4

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": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1235113804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 PEACEFUL VALLEY ROAD",
            "city": "NORTH CREEK",
            "state": "NY",
            "postal_code": "12853",
            "telephone_number": "518-251-2244",
            "fax_number": "518-251-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 PEACEFUL VALLEY ROAD",
            "city": "NORTH CREEK",
            "state": "NY",
            "postal_code": "12853",
            "telephone_number": "518-251-2244",
            "fax_number": "518-251-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSBURG EMERGENCY SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CONNELLY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-812-5282",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "09840",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF NORTHEASTERN NY",
            "identifier": "000416627001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD",
            "identifier": "P00136074",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02572278",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BA0187",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James F Hindson, MD
• Jill L Hodgson, OTR/L
• Hudson Headwaters Health Network
• Hudson Headwaters Health Network
• Johnsburg Central School
• Sungji Joun, DPT
• Frank Howard Klippel, RPH , CDM
• Lynn Micha May, MSCCCSLP
• Nancy Lee Dunn LCSW PLLC
• William James Palmer, PHARMD, RPH

• All providers in North Creek, NY
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.