Organization Active NPI

Islip Fire District

  • Land Ambulance
  • Islip, NY
National Provider Identifier
1174262299
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
ISLIP FIRE DISTRICT
Practice address
28 Monell Ave
Islip, NY 11751-3904
Phone
(631) 581-5656
NPI assigned
May 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
Kyle Markott
Title
District Manager
Phone
(631) 581-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

28 Monell Ave
Islip, NY 11751-3904

Mailing address

28 Monell Ave
Islip, NY 11751-3904
Phone (631) 581-5656

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220815000259 NY Part B Supplier - Ambulance Service Supplier 2062895626 Practice locations: Islip, NY

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
33D2288975Islip Fire District28 Monell Ave, Islip, NY 11751Certificate of waiverAug 31, 2027

National Provider Directory

National Provider Directory

Locations

28 Monell Ave
Islip, NY 11751
Phone (631) 581-5656

NPI Registry JSON

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1174262299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MONELL AVE",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513904",
            "telephone_number": "631-581-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MONELL AVE",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513904",
            "telephone_number": "631-581-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLIP FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "MARKOTT",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "DISTRICT MANAGER",
        "authorized_official_telephone_number": "631-581-5656"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.

Verify at the official NPI Registry.