Organization Active NPI

Kiryas Joel Volunteer Emergency Medical Services Inc

  • Ambulance
  • Monroe, NY
National Provider Identifier
1689176646
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
33603 Issued in NY
Legal business name
KIRYAS JOEL VOLUNTEER EMERGENCY MEDICAL SERVICES INC
Practice address
63 Forest Rd
Monroe, NY 10950-2925
Phone
(845) 371-4141
Fax
(845) 746-4255
NPI assigned
Mar 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Authorized official

Name
Israel Knobloch
Title
Administrator
Phone
(845) 371-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 33603 NY Primary

Addresses

Primary practice location

63 Forest Rd
Monroe, NY 10950-2925

Mailing address

51 Forest Rd Ste 375
Monroe, NY 10950-2963
Phone (845) 371-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180326001785 NY Part B Supplier - Ambulance Service Supplier 5890057152 Practice locations: Monroe, NY

National Provider Directory

National Provider Directory

Locations

48 Bakertown Rd
Ste 303
Monroe, NY 10950

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1689176646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 FOREST RD STE 375",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502963",
            "telephone_number": "845-371-4141",
            "fax_number": "845-746-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 FOREST RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502925",
            "telephone_number": "845-371-4141",
            "fax_number": "845-746-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRYAS JOEL VOLUNTEER EMERGENCY MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "KNOBLOCH",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "845-371-4141"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "33603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.