Phillgrey Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PHILLGREY INC

Practice address

202 N Main St
Massena, NY 13662-1121

Phone

(315) 764-5939

Fax

(315) 764-1172

NPI assigned

Jan 9, 2006

Last updated

Apr 26, 2023By 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. David Sherman

Title

President

Phone

(315) 764-8195

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1306824313",
    "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": "202 N MAIN ST",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621121",
            "telephone_number": "315-764-5939",
            "fax_number": "315-764-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLGREY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-764-8195",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02992189",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01911146",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penn Traffic Company the (P and C Food and Pharmacy 3188)
• Barbara J Perez, SOCIAL WORKER
• Marisa Perry, BS
• Alexandra Pesold, FNP
• Denise Zuniga Peterson, LPN
• John Joseph Phillips, MS-CCC-SLP
• Jennifer Lee Pike, RN
• Jamie Pirie
• Randal Joseph Place, D.D.S.
• Deborah Ellen Prashaw, RN

• Land Ambulance in Massena, NY
• Providers in Massena, 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 Apr 26, 2023; 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.