Mohegan Volunteer Fire Association Volunteer Ambulance Corps Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

10366 Issued in NY

Legal business name

MOHEGAN VOLUNTEER FIRE ASSOCIATION VOLUNTEER AMBULANCE CORPS INC

Practice address

1975 East Main St
Mohegan Lake, NY 10547

Phone

(914) 526-1005

Fax

(914) 526-1048

NPI assigned

Apr 8, 2006

Last updated

Jun 3, 2025By 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

Kenneth Chodkowski

Title

Chairperson

Phone

(914) 526-1005

Specialties & licenses 1

Addresses

Other identifiers 4

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": "1144454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1639132905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21027",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100871027",
            "telephone_number": "914-526-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 EAST MAIN ST",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "10547",
            "telephone_number": "914-526-1005",
            "fax_number": "914-526-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHEGAN VOLUNTEER FIRE ASSOCIATION VOLUNTEER AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-08",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "CHODKOWSKI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CHAIRPERSON",
        "authorized_official_telephone_number": "914-526-1005"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "10366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01951275",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "900951",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9634358",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590013205",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Mingoia
• Morgan Mitchell, OD
• Salim Mizher
• Mobile Cardiovascular Systems, Inc.
• Mohegan Lake Dental PC
• Vanessa T Mojica
• Daniella Elyse Montalto, M.A., CCC-SLP
• Rachel Anne Moody, NP
• Ellen G Most
• Nachmann and Zhang LLC (Advanced Westchester Podiatry)

• Ambulance in Mohegan Lake, NY
• Providers in Mohegan Lake, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.