Organization Active NPI

Roosevelt Fire Dist

  • Land Ambulance
  • Roosevelt, NY
National Provider Identifier
1346164712
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
ROOSEVELT FIRE DIST
Practice address
55 W Centennial Ave
Roosevelt, NY 11575
Phone
(516) 351-7884
NPI assigned
Aug 7, 2026
Last updated
Aug 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Shajarah Williams
Title
Commissioner
Phone
(516) 351-7884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

55 W Centennial Ave
Roosevelt, NY 11575

Mailing address

55 W Centennial Ave
Roosevelt, NY 11575

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1346164712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 W CENTENNIAL AVE",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "11575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W CENTENNIAL AVE",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "11575",
            "telephone_number": "516-351-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSEVELT FIRE DIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-07",
        "last_updated": "2026-08-07",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHAJARAH",
        "authorized_official_title_or_position": "COMMISSIONER",
        "authorized_official_telephone_number": "516-351-7884"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roosevelt, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.