Organization Active NPI

Massapequa Fire District

  • Land Ambulance
  • Massapequa, NY
National Provider Identifier
1346000460
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MASSAPEQUA FIRE DISTRICT
Practice address
1 Brooklyn Ave
Massapequa, NY 11758-4813
Phone
(516) 798-2648
NPI assigned
Mar 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Thomas Fitzsimmons
Title
Superintendent
Phone
(516) 798-2648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1 Brooklyn Ave
Massapequa, NY 11758-4813

Mailing address

1 Brooklyn Ave
Massapequa, NY 11758-4813
Phone (516) 798-2648

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240510000609 NY Part B Supplier - Ambulance Service Supplier 2466893243 Practice locations: Massapequa, NY

National Provider Directory

National Provider Directory

Locations

1 Brooklyn Ave
Massapequa, NY 11758
Phone (516) 798-2648

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1346000460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKLYN AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584813",
            "telephone_number": "516-798-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKLYN AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584813",
            "telephone_number": "516-798-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAPEQUA FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "FITZSIMMONS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "516-798-2648"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.