Village of Fredonia

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

VILLAGE OF FREDONIA

Practice address

9-11 Church Street
Fredonia, NY 14063

Phone

(716) 679-2302

Fax

(716) 679-3175

NPI assigned

Sep 9, 2014

Last updated

Jun 27, 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

Douglas Essek

Title

Mayor

Phone

(716) 679-2301

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1477954519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 MAIN STREET",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217455",
            "telephone_number": "716-204-3350",
            "fax_number": "716-247-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9-11 CHURCH STREET",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "14063",
            "telephone_number": "716-679-2302",
            "fax_number": "716-679-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF FREDONIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "ESSEK",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "MAYOR",
        "authorized_official_telephone_number": "716-679-2301"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04086893",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Christine Titus, LCSW
• Twichell and Lukasik DDS
• Mark L Twichell, DDS
• Kathryn Marie Vanvalkenburg, PHARM-D
• Sandra Vedovato, PH.D.
• Andrew Mark Vincek, PT, DPT
• Christine Vincek, PT, DPT, OCS
• Randall Vincek, PT, OCS
• Mary Sue Vogel, SPECIAL EDUCATION TE
• Gregory John Voltmann, LMSW

• Land Ambulance in Fredonia, NY
• Providers in Fredonia, 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 Jun 27, 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.