City of Cedarburg

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF CEDARBURG

Practice address

W61N631 Mequon Ave
Cedarburg, WI 53012-2017

Phone

(262) 375-7630

NPI assigned

Jul 9, 2020

Last updated

Jan 27, 2021By 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

Christy Mertes

Title

Finance Director/Treasurer

Phone

(262) 376-3907

Specialties & licenses 1

Addresses

Other names 1

• City of Cedarburg Other name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1821616574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530120049",
            "telephone_number": "262-375-7600",
            "fax_number": "262-375-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W61N631 MEQUON AVE",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122017",
            "telephone_number": "262-375-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CEDARBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "MERTES",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "FINANCE DIRECTOR/TREASURER",
        "authorized_official_telephone_number": "262-376-3907"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Cedarburg",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "City of Cedarburg",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• M Thomas Chemotti, M.D.
• Gregory A Cherbukovsky, P.T.A.
• Children's Medical Group (Cedarburg Pediatrics)
• Chiropractic Company - Cedarburg LTD
• Sara Beck Cincotta, MS-CCC-SLP
• City of Newcastle (New Castle Fire Department)
• Janelle Elizabeth Clark, L.P.C.
• Nicole Cofta
• Madyson Bellarose Contreras-Perrin, LPC-IT
• County of Ozaukee (Lasata Care Center)

• Land Ambulance in Cedarburg, WI
• Providers in Cedarburg, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.