Organization Active NPI

Miller Place Fire District

  • Land Ambulance
  • Miller Place, NY
National Provider Identifier
1003674698
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MILLER PLACE FIRE DISTRICT
Practice address
12 Miller Place Rd
Miller Place, NY 11764-2317
Phone
(631) 473-7788
NPI assigned
Mar 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Janet Staufer
Title
District Manager
Phone
(631) 473-7788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

12 Miller Place Rd
Miller Place, NY 11764-2317

Mailing address

12 Miller Place Rd
Miller Place, NY 11764-2317
Phone (631) 473-7788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240426000089 NY Part B Supplier - Ambulance Service Supplier 9830539709 Practice locations: Miller Place, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2282006Miller Place Fire District12 Miller Place Rd, Miller Place, NY 11764Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

12 Miller Place Rd
Miller Place, NY 11764
Phone (631) 473-7788

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1003674698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MILLER PLACE RD",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642317",
            "telephone_number": "631-473-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MILLER PLACE RD",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642317",
            "telephone_number": "631-473-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER PLACE FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "STAUFER",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "DISTRICT MANAGER",
        "authorized_official_telephone_number": "631-473-7788"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.