Active NPI
North Java Fire Company
- Land Ambulance
- North Java, NY
National Provider Identifier
1013790526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- NORTH JAVA FIRE COMPANY
- Practice address
- 4274 Route 98
North Java, NY 14113-9765 - Phone
- (585) 535-9950
- Fax
- (585) 535-9950
- NPI assigned
- Aug 17, 2023
- Last updated
- Jan 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Boorman
- Title
- Chief
- Phone
- (585) 535-9950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
4274 Route 98
North Java, NY 14113-9765
Mailing address
PO Box 137
North Java, NY 14113-0137
Phone (585) 535-9950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240621000397 | NY | Part B Supplier - Ambulance Service Supplier | 8123475399 | Practice locations: North Java, NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706140800000",
"number": "1013790526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 137",
"city": "NORTH JAVA",
"state": "NY",
"postal_code": "141130137",
"telephone_number": "585-535-9950",
"fax_number": "585-535-9950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4274 ROUTE 98",
"city": "NORTH JAVA",
"state": "NY",
"postal_code": "141139765",
"telephone_number": "585-535-9950",
"fax_number": "585-535-9950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH JAVA FIRE COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-17",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A",
"authorized_official_last_name": "BOORMAN",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "585-535-9950"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Java, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.