Village of New Square

Primary specialty

AmbulanceTaxonomy code 341600000X

License

11777 Issued in NY

Legal business name

VILLAGE OF NEW SQUARE

Practice address

766 N Main St
Spring Valley, NY 10977-1985

Phone

(845) 354-1000

Fax

(845) 354-7282

NPI assigned

Jan 28, 2009

Organization subpart

No

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

Authorized official

Name

David Breuer

Title

EMS Coordinator

Phone

(845) 364-1000

Specialties & licenses 1

Addresses

Other names 1

• Village of New Square Other name

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": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1336387471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 BAKERTOWN RD",
            "address_2": "SUITE 407",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109508428",
            "telephone_number": "845-781-2403",
            "fax_number": "845-781-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 N MAIN ST",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771985",
            "telephone_number": "845-354-1000",
            "fax_number": "845-354-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF NEW SQUARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "BREUER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "845-364-1000"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "11777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village of New Square",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Junior Bertho Vertil, DMD
• Surya Vettath
• Renee Vicsama
• Hannah Viener
• Ahuva Vilinsky, OT
• Vip Ambulette Inc.
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• Visiting Medical PC
• Visiting Medical Services PC
• Visiting Medical Services PC

• Ambulance in Spring Valley, NY
• Providers in Spring Valley, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.