Pearl River Alumni Ambulance Corporation

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PEARL RIVER ALUMNI AMBULANCE CORPORATION

Practice address

15 N Pearl St
Pearl River, NY 10965-2147

Phone

(845) 228-3112

Fax

(845) 627-6728

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Paul J Hadeler

Title

President

Phone

(845) 735-2066

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1447469689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1046",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109650346",
            "telephone_number": "845-228-3112",
            "fax_number": "845-627-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N PEARL ST",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652147",
            "telephone_number": "845-228-3112",
            "fax_number": "845-627-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL RIVER ALUMNI AMBULANCE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "HADELER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-735-2066"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS EMS ID",
            "identifier": "4318",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Paras, M.D.
• Nicole M Passaretti, PMHNP
• Noreen Patrone, RN, MSN, APMHCNS-BC
• Pearl Dentistry PLLC
• Pearl River Acupuncture
• Pearl River Chemists, Inc.
• Pearl River Hearing Center
• Pearl River Union Free School District
• Desmond Joesph Pegley, OTR/L
• Natalia Pelaez, DPT

• Land Ambulance in Pearl River, NY
• Providers in Pearl River, 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 Oct 16, 2012; 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.