North Warren Emergency Squad Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

10301 Issued in NY

Legal business name

NORTH WARREN EMERGENCY SQUAD INC

Practice address

2 Cougar Lane
Chestertown, NY 12817

Phone

(518) 494-4317

NPI assigned

May 31, 2006

Last updated

Oct 6, 2026By 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

Mr. Issachar N Modert

Title

Operations Manager

Phone

(888) 603-2455

Specialties & licenses 1

Addresses

Other identifiers 5

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": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1508813726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WASHINGTON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122102202",
            "telephone_number": "888-603-2455",
            "fax_number": "888-603-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COUGAR LANE",
            "city": "CHESTERTOWN",
            "state": "NY",
            "postal_code": "12817",
            "telephone_number": "518-494-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH WARREN EMERGENCY SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "MODERT",
        "authorized_official_first_name": "ISSACHAR",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "888-603-2455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10027480",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01807390",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAIMETTO GBA",
            "identifier": "590012180",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "959849",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "959849",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hudson Headwaters Health Network
• Daniel C Larson, MD
• Stephen Leeret
• Richard W Loyst, D.C.
• North Warren Central School District
• David Parisi, LCSW
• Jill Marlise Primeau, O.T.
• John K Rugge, MD
• Lindsay Marie Swan, FNP
• Ryan Wade

• Ambulance in Chestertown, NY
• Providers in Chestertown, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; 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.