Organization Active NPI

Jericho Fire District

  • Land Ambulance
  • Jericho, NY
National Provider Identifier
1164134060
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
JERICHO FIRE DISTRICT
Practice address
424 N Broadway
Jericho, NY 11753-2105
Phone
(516) 931-3546
NPI assigned
Dec 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Authorized official

Name
Frank Sammartano
Title
Commissioner
Phone
(516) 931-3546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

424 N Broadway
Jericho, NY 11753-2105

Mailing address

424 N Broadway
Jericho, NY 11753-2105
Phone (516) 931-3546

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230207002284 NY Part B Supplier - Ambulance Service Supplier 1951773613 Practice locations: Jericho, NY

National Provider Directory

National Provider Directory

Locations

424 N Broadway
Jericho, NY 11753
Phone (516) 931-3546

50 N Broadway
Unit 626
Tarrytown, NY 10591

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1164134060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 N BROADWAY",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532105",
            "telephone_number": "516-931-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N BROADWAY",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532105",
            "telephone_number": "516-931-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERICHO FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "SAMMARTANO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "COMMISSIONER",
        "authorized_official_telephone_number": "516-931-3546"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.

Verify at the official NPI Registry.