Town of Shandaken

Primary specialty

AmbulanceTaxonomy code 341600000X

License

03C0069 Issued in NY

Legal business name

TOWN OF SHANDAKEN

Practice address

60 State Route 42
Shandaken, NY 12480-5410

Phone

(845) 688-5030

NPI assigned

Jun 27, 2007

Last updated

Oct 20, 2013By 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 Stanley

Title

Town Supervisor

Phone

(845) 688-7165

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382227200000",
    "number": "1235336090",
    "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": "60 STATE ROUTE 42",
            "city": "SHANDAKEN",
            "state": "NY",
            "postal_code": "124805410",
            "telephone_number": "845-688-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF SHANDAKEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2013-10-20",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "TOWN SUPERVISOR",
        "authorized_official_telephone_number": "845-688-7165",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "03C0069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00934767",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "441590833",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Ann Chauncey
• Marguerite H. Collins M.D.
• Kathleen Nolan, MD, MSL
• Justine Suarez, CPD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.