Town of Somers

Primary specialty

AmbulanceTaxonomy code 341600000X

License

C129B1 Issued in CT

Legal business name

TOWN OF SOMERS

Practice address

400 Main St
Somers, CT 06071-1918

Phone

(860) 749-7626

NPI assigned

Aug 16, 2005

Organization subpart

No

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

Authorized official

Name

Michael Marinaccio

Title

Cfo

Phone

(860) 763-8200

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Somers Fire Dept Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1922090117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "SOMERS",
            "state": "CT",
            "postal_code": "060710098",
            "telephone_number": "860-668-3885",
            "fax_number": "860-668-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAIN ST",
            "city": "SOMERS",
            "state": "CT",
            "postal_code": "060711918",
            "telephone_number": "860-749-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF SOMERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "MARINACCIO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "860-763-8200"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": "C129B1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "201064700",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "710C129B1CT01",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004188969",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "768025",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00134993",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somers Fire Dept Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Richard Squillace, O.D.
• Stafford Medical Group LLC
• George Paul Sulikowski, D.C.
• The Social Foundry ABA, LLC
• Therapath, LLC
• John Edward Tyree, RN ACNP
• Suzanne Marie Viger, APRN
• Jessica Leah Ware
• Alyssa Weers, PHARMD, RPH

• Ambulance in Somers, CT
• Providers in Somers, CT by specialty
• Ambulance in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.