Active NPI
Westport Fire District
- Emergency Medical Services (Emergency Medicine) Physician
- Westport, NY
National Provider Identifier
1295507119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- Legal business name
- WESTPORT FIRE DISTRICT
- Practice address
- 15 Commercial Park Lane
Westport, NY 12993 - Phone
- (518) 962-4701
- NPI assigned
- Oct 24, 2023
- Last updated
- Oct 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Sayre
- Title
- Commissioner
- Phone
- (888) 603-2455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | Primary |
Addresses
Primary practice location
15 Commercial Park Lane
Westport, NY 12993
Mailing address
PO Box 787
Latham, NY 12110-0787
Phone (888) 603-2455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240111000147 | NY | Part B Supplier - Ambulance Service Supplier | 6507217866 | Practice locations: Westport, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2313752 | Westport Fire District | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698105600000",
"number": "1295507119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 787",
"city": "LATHAM",
"state": "NY",
"postal_code": "121100787",
"telephone_number": "888-603-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 COMMERCIAL PARK LANE",
"city": "WESTPORT",
"state": "NY",
"postal_code": "12993",
"telephone_number": "518-962-4701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTPORT FIRE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-24",
"last_updated": "2023-10-24",
"certification_date": "2023-10-23",
"status": "A",
"authorized_official_last_name": "SAYRE",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "COMMISSIONER",
"authorized_official_telephone_number": "888-603-2455"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.