Organization Active NPI

Massena Volunteer Emergency Unit

  • Land Ambulance
  • Massena, NY
National Provider Identifier
1407236458
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
32651 Issued in NY
Legal business name
MASSENA VOLUNTEER EMERGENCY UNIT
Doing business as
Massena Rescue Squad
Practice address
341 E Orvis St
Massena, NY 13662-3200
Phone
(315) 764-1744
NPI assigned
Jun 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Authorized official

Name
Jan Erik Hondusky
Title
President
Phone
(315) 764-1744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 32651 NY Primary

Addresses

Primary practice location

341 E Orvis St
Massena, NY 13662-3200

Mailing address

341 E Orvis St
Massena, NY 13662-3200
Phone (315) 764-1744

Other names 1

  • Massena Rescue Squad Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150807015034 NY Part B Supplier - Ambulance Service Supplier 8527372259 Practice locations: Massena, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2340948Massena Volunteer Emergency Unit Inc341 E Orvis St, Massena, NY 13662Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

182 Highland Rd
Massena, NY 13662
Phone (315) 386-8191

341 E Orvis St
Massena, NY 13662
Phone (315) 764-1744

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1407236458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 E ORVIS ST",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136623200",
            "telephone_number": "315-764-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 E ORVIS ST",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136623200",
            "telephone_number": "315-764-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSENA VOLUNTEER EMERGENCY UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "HONDUSKY",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "ERIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-764-1744"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "32651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Massena Rescue Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Massena, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.