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JOHNSBURG EMERGENCY SQUAD INC
NPI 1235113804
Ambulance in North Creek, NY

Active since December 06, 2005CLIA 33D2304029 · Waiver
624 PEACEFUL VALLEY ROAD, NORTH CREEK, NY 12853(518) 251-2244(518) 251-2257 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 3, 2017 (2 updates tracked since 2017).

About Johnsburg Emergency Squad Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNSBURG EMERGENCY SQUAD INC (NPI 1235113804) is a healthcare organization registered as an ambulance in North Creek, New York and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Joseph Charles Connelly, President, as its authorized official.

NPPES Registry Identity

NPI1235113804
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameJOHNSBURG EMERGENCY SQUAD INC
Location Address624 PEACEFUL VALLEY ROADNorth Creek, NY 12853
Mailing Address624 Peaceful Valley RoadNorth Creek, NY 12853 · (518) 251-2244 · Fax (518) 251-2257
Phone(518) 251-2244
Fax(518) 251-2257
Organization SubpartNo
Authorized OfficialJoseph Charles ConnellyPresident · (518) 812-5282
Enumeration DateDecember 6, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1235113804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in NY · 09840
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
624 PEACEFUL VALLEY ROAD, North Creek, NY 12853
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Other Identifiers 4

OtherP00136074Palmetto Gba Railroad
Medicaid02572278NY
OtherBA0187NY · Medicare Ptan
Other000416627001Bs Of Northeastern Ny

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2304029

Johnsburg Emergency Squad Inc · North Creek, NY
Active · expires Mar 26, 2027
CLIA Number33D2304029
Laboratory TypeAmbulance
Certificate Effective DateMay 6, 2024
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Benjamin S. Katz
Laboratory Phone(518) 251-2244
Laboratory LocationJohnsburg Emergency Squad Inc624 Peaceful Valley Rd, North Creek, NY 12853
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
4,562 services87 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
64 services55 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
60 services42 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnsburg Emergency Squad Inc's NPI number?

The NPI number for Johnsburg Emergency Squad Inc is 1235113804. It was assigned to this organization in the NPPES registry on December 6, 2005.

Where is Johnsburg Emergency Squad Inc located?

Johnsburg Emergency Squad Inc is located at 624 Peaceful Valley Road, North Creek, NY 12853. The listed phone number is (518) 251-2244.

What is Johnsburg Emergency Squad Inc's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Johnsburg Emergency Squad Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2304029) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Johnsburg Emergency Squad Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.