Organization Active NPI

Kiryas Joel Community Ambulance

  • Land Ambulance
  • Monroe, NY
National Provider Identifier
1770659740
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
KIRYAS JOEL COMMUNITY AMBULANCE
Practice address
63 Forest Rd.
Monroe, NY 10950
Phone
(845) 782-1947
NPI assigned
Nov 28, 2006
Last updated
Apr 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Authorized official

Name
Mayer A Gross
Title
Billing Director
Phone
(845) 781-2440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

63 Forest Rd.
Monroe, NY 10950

Mailing address

48 Bakertown Road
Suite 303
Monroe, NY 10950

National Provider Directory

National Provider Directory

Locations

51 Forest Rd
Ste 375
Monroe, NY 10950
Phone (845) 783-1063

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1770659740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 BAKERTOWN ROAD",
            "address_2": "SUITE 303",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "10950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 FOREST RD.",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "10950",
            "telephone_number": "845-782-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRYAS JOEL COMMUNITY AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "MAYER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "845-781-2440"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "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 Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.