Organization Active NPI

Smithtown Fire District

  • Land Ambulance
  • Smithtown, NY
National Provider Identifier
1194459222
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SMITHTOWN FIRE DISTRICT
Practice address
100 Elm Ave
Smithtown, NY 11787-3510
Phone
(631) 265-1503
NPI assigned
Jul 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
Robert Noonan
Title
District Manager
Phone
(631) 265-1503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

100 Elm Ave
Smithtown, NY 11787-3510

Mailing address

100 Elm Ave
Smithtown, NY 11787-3510
Phone (631) 265-1503

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220914000287 NY Part B Supplier - Ambulance Service Supplier 3476938317 Practice locations: Smithtown, 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
33D2287713Smithtown Fire District100 Elm Ave, Smithtown, NY 11787Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

52 Route 25A
Smithtown, NY 11787
Phone (631) 617-5250

100 Elm Ave
Smithtown, NY 11787
Phone (631) 265-1503

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1194459222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ELM AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873510",
            "telephone_number": "631-265-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELM AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873510",
            "telephone_number": "631-265-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHTOWN FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "NOONAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DISTRICT MANAGER",
        "authorized_official_telephone_number": "631-265-1503"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.