North Greenbush Ambulance Association Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

NORTH GREENBUSH AMBULANCE ASSOCIATION INC

Practice address

409 Main Ave
Wynantskill, NY 12198-8219

Phone

(518) 283-5511

Fax

(518) 283-7781

NPI assigned

Oct 26, 2005

Last updated

Jun 30, 2016By 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

Kathleen Allen

Title

President

Phone

(518) 283-5511

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1710977285",
    "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": "716-634-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 MAIN AVE",
            "city": "WYNANTSKILL",
            "state": "NY",
            "postal_code": "121988219",
            "telephone_number": "518-283-5511",
            "fax_number": "518-283-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GREENBUSH AMBULANCE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-283-5511"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02201123",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne McNamara
• Jonathan Desmond McRae, M.S. ED., CAS
• Karine Meunier
• Meghan Mosch
• Melinda Y Myers, LMHC
• Maureen O'Brien
• Suzanne A O'Connor
• Mary Ellen Ellen Pace, RN
• Pakatar LCSW Counseling Services, PLLC
• Ritchie J Parrotta, D.O.

• Land Ambulance in Wynantskill, NY
• Providers in Wynantskill, 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 30, 2016; 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.