Brewster Southeast EMS Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BREWSTER SOUTHEAST EMS INC.

Practice address

501 N Main St
Brewster, NY 10509-1233

Phone

(845) 721-7664

NPI assigned

Dec 22, 2023

Organization subpart

No

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

Authorized official

Name

Donald Goodwin

Title

Treasurer

Phone

(845) 721-7664

Specialties & licenses 1

Addresses

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": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1992574685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N MAIN ST",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105091233",
            "telephone_number": "845-721-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N MAIN ST",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105091233",
            "telephone_number": "845-721-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREWSTER SOUTHEAST EMS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "845-721-7664"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brewster Central School District
• Brewster Family and Cosmetic Dental PC
• Brewster Family and Cosmetic Dental PC
• Brewster Family Dental, PLLC
• Brewster Physical Therapy, P.C.
• Gail Brick, LCSW-R
• Angela Marie Brogan, M.S. SLP
• Maureen Brooks
• Gabriel Dean Brown, M.D.
• Sheena Lou-Lu Bruenn, NURSE PRACTITIONER

• Land Ambulance in Brewster, NY
• Providers in Brewster, NY by specialty
• Land Ambulance in New York

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