Volunteer Fire Department of New Fairfield, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

VOLUNTEER FIRE DEPARTMENT OF NEW FAIRFIELD, INC

Practice address

302 Ball Pond Rd
New Fairfield, CT 06812-4625

Phone

(203) 925-0380

NPI assigned

Sep 19, 2005

Organization subpart

No

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

Authorized official

Name

Jean Flynn

Title

Director of Finances

Phone

(203) 746-4025

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1164417853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 MAIN ST",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162302",
            "telephone_number": "860-638-1800",
            "fax_number": "860-638-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BALL POND RD",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068124625",
            "telephone_number": "203-925-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEER FIRE DEPARTMENT OF NEW FAIRFIELD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCES",
        "authorized_official_telephone_number": "203-746-4025"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "710C091I1CT01",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004230562",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00104684",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thrive Therapy PLLC
• Marijana Todosiev, PHARMD
• Alexandria Tomasini
• Margaret Trussler, N.P.
• Kerri Vitolo, BCBA
• Shannon Walsh, BCBA
• Stephanie A Wexler, CRC, LMHC
• Jodi Lynn Whiting, MS, LPC 000521
• Dorothy J Williams, M.D.
• Sandra H. Wilson, P.T.

• Land Ambulance in New Fairfield, CT
• Providers in New Fairfield, CT by specialty
• Land Ambulance in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.