Organization Active NPI

Town of North Haven

  • Land Ambulance
  • North Haven, CT
National Provider Identifier
1154836450
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF NORTH HAVEN
Practice address
11 Broadway
North Haven, CT 06473
Phone
(203) 239-5321
NPI assigned
Dec 8, 2017
Reactivated
Mar 11, 2022
Last updated
Sep 26, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
TOWN OF NORTH HAVENAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Mr. Paul Januszewski
Title
Fire Chief
Phone
(203) 239-5321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

11 Broadway
North Haven, CT 06473

Mailing address

18 Church Street
Fire Department
North Haven, CT 06473
Phone (203) 239-5321

Other names 1

  • North Haven Fire Department Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180206001562 CT Part B Supplier - Ambulance Service Supplier 5799784922 Practice locations: North Haven, CT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
07D2315385North Haven Fire Department11 Broadway, North Haven, CT 06473Certificate of waiverDec 11, 2026

NPI Registry JSON

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1154836450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CHURCH STREET",
            "address_2": "FIRE DEPARTMENT",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "06473",
            "telephone_number": "203-239-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BROADWAY",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "06473",
            "telephone_number": "203-239-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF NORTH HAVEN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWN OF NORTH HAVEN",
        "enumeration_date": "2017-12-08",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "deactivation_date": "2022-02-18",
        "reactivation_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "JANUSZEWSKI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "203-239-5321",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Haven Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.