Olive First Aid Unit, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

31142 Issued in NY

Legal business name

OLIVE FIRST AID UNIT, INC.

Practice address

19 Church Street
Shokan, NY 12481

Phone

(845) 657-8984

Fax

(845) 657-7285

NPI assigned

Mar 18, 2008

Last updated

Jan 7, 2015By 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

Paula Minew

Title

Authorized Official

Phone

(845) 657-8984

Specialties & licenses 2

Addresses

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

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1508037524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 SHERIDAN DR",
            "address_2": "SUITE 3B",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213730",
            "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": "19 CHURCH STREET",
            "city": "SHOKAN",
            "state": "NY",
            "postal_code": "12481",
            "telephone_number": "845-657-8984",
            "fax_number": "845-657-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE FIRST AID UNIT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "MINEW",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "845-657-8984"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "31142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Gregory Bartz, D.C.
• Serge Filkin, LMT
• Lauren Frederico, LCSW
• Michelle M Howard, LPN
• Monroe Maki
• Junice Justine Santa Ana, RN, BSN
• Isabella Schwartz, LMT
• Christopher L Tyler, LCSW
• Mary Anne Wise, RN, LMT

• Land Ambulance in Shokan, NY
• Providers in Shokan, 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 Jan 7, 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.