Town of Coxsackie

Primary specialty

AmbulanceTaxonomy code 341600000X

License

12500 Issued in NY

Legal business name

TOWN OF COXSACKIE

Practice address

117 Mansion St
Coxsackie, NY 12051-1007

Phone

(518) 731-3687

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Richard K Hanse

Title

Town Supervisor

Phone

(518) 731-2726

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1841333556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130270535",
            "telephone_number": "315-635-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MANSION ST",
            "city": "COXSACKIE",
            "state": "NY",
            "postal_code": "120511007",
            "telephone_number": "518-731-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF COXSACKIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "HANSE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "TOWN SUPERVISOR",
        "authorized_official_telephone_number": "518-731-2726"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "12500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00396617",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Proper, RN CWOCN
• D Ann Rugh, PT
• Thomas Anthony Russo, PA
• Doreen Smith, MD
• State of New York Office of State Comptroller (Coxsackie Pharmacy)
• Patricia Anne Ublackerp, TSHH/SP ED
• Annalisa Viscusi, COTA

• Ambulance in Coxsackie, NY
• Providers in Coxsackie, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.