Greenport Rescue Squad, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1013 Issued in NY

Legal business name

GREENPORT RESCUE SQUAD, INC

Practice address

3 Newman Rd
Hudson, NY 12534-4040

Phone

(518) 822-8511

Fax

(518) 822-0047

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Antonio D Merante Jr.

Title

VP Board of Directors

Phone

(518) 822-8511

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851467971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125344040",
            "telephone_number": "518-822-8511",
            "fax_number": "518-822-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 NEWMAN RD",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125344040",
            "telephone_number": "518-822-8511",
            "fax_number": "518-822-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENPORT RESCUE SQUAD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERANTE",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VP BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "518-822-8511",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "1013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10015395",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01199155",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher T Gorczynski, M.D.
• Patricia Gottenberg, LMHC
• Emily Adeline Grattan, DNP, FNP
• Lorraine Coley Gray, LMFT
• Heidi Lauren Green, MSPT
• Jenna Gregory, LMSW
• Kimberly Lateisha Griffin-Simmonds
• Jennifer L Gsell, NP
• Vinita Gupta, M.D.
• Vinod K Gupta, MD

• All providers in Hudson, NY
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.