Active NPI
Town of North Haven
- Land Ambulance
- North Haven, CT
National Provider Identifier
1154836450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2024
- Organization subpart
- Yes
- Parent organization
- TOWN OF NORTH HAVEN
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
dba North Haven Community Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- North Haven, CT
- NPI 1164513388
5799784922
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 |
|---|---|---|---|
| 07D2315385 | North Haven Fire Department | Certificate of waiver | Dec 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
- Michael Alan Thorns, LAC
- Thoughts of Peace, LLC
- Dawn K Tobin, D.C.
- Lisa Meryl Torre, OTR/L, LMT
- Totalvision Associates of North Haven PLLC (TotalVision Eyecare Center)
- Town of North Haven Community Services (North Haven Community Services)
- Transformative Therapy Solutions LLC
- Nicolas Travisano, LPC
- Dayna Joy Trinh, LPC
- Trinity One Counseling Center (Patricia Jenkins-Simmons)
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.