Organization Active NPI

Vista Fire District No 1

  • Land Ambulance
  • South Salem, NY
National Provider Identifier
1235949561
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
VISTA FIRE DISTRICT NO 1
Practice address
377 Smith Ridge Rd
South Salem, NY 10590-2327
Phone
(914) 533-2727
NPI assigned
Jan 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Wendy Wakeman
Title
Treasurer
Phone
(914) 533-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

377 Smith Ridge Rd
South Salem, NY 10590-2327

Mailing address

377 Smith Ridge Rd
South Salem, NY 10590-2327
Phone (914) 533-2727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250401002690 NY Part B Supplier - Ambulance Service Supplier 0446773337 Practice locations: South Salem, 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
33D2339843Vista Fire District No 1377 Smith Ridge Rd, South Salem, NY 10590Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

377 Smith Ridge Rd
South Salem, NY 10590
Phone (914) 533-2727

NPI Registry JSON

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1235949561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 SMITH RIDGE RD",
            "city": "SOUTH SALEM",
            "state": "NY",
            "postal_code": "105902327",
            "telephone_number": "914-533-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 SMITH RIDGE RD",
            "city": "SOUTH SALEM",
            "state": "NY",
            "postal_code": "105902327",
            "telephone_number": "914-533-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA FIRE DISTRICT NO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "WAKEMAN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "914-533-2727"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Salem, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.