Active NPI
Central Islip-Hauppauge Volunteer Ambulance, Inc.
- Land Ambulance
- Central Islip, NY
National Provider Identifier
1093284499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CENTRAL ISLIP-HAUPPAUGE VOLUNTEER AMBULANCE, INC.
- Practice address
- 4 Pineville Road
Central Islip, NY 11722-2311 - Phone
- (631) 582-4414
- Fax
- (631) 582-2615
- NPI assigned
- Nov 15, 2018
- Last updated
- Jan 30, 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
- Paul V. Ryan
- Title
- Board Chairman
- Phone
- (631) 582-4414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
4 Pineville Road
Central Islip, NY 11722-2311
Mailing address
4 Pineville Rd
Central Islip, NY 11722-2311
Phone (631) 582-4414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190107002724 | NY | Part B Supplier - Ambulance Service Supplier | 5991041352 | Practice locations: Central Islip, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2291066 | Central Islip - Hauppauge Volunteer | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
4 Pineville Rd
Central Islip, NY 11722
Phone (631) 582-4414
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Basic Emergency Medical Technician
- Central Islip, NY
- NPI 1588254908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706572800000",
"number": "1093284499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 PINEVILLE RD",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117222311",
"telephone_number": "631-582-4414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 PINEVILLE ROAD",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117222311",
"telephone_number": "631-582-4414",
"fax_number": "631-582-2615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL ISLIP-HAUPPAUGE VOLUNTEER AMBULANCE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-15",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A",
"authorized_official_last_name": "RYAN",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "V.",
"authorized_official_title_or_position": "BOARD CHAIRMAN",
"authorized_official_telephone_number": "631-582-4414"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Central Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.