Organization Active NPI

East Northport Fire District

  • Land Ambulance
  • East Northport, NY
National Provider Identifier
1376240499
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
EAST NORTHPORT FIRE DISTRICT
Practice address
1 9TH Ave
East Northport, NY 11731-1822
Phone
(631) 261-1177
NPI assigned
Feb 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Michael Tarantino
Title
Commissioner
Phone
(631) 261-1177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1 9TH Ave
East Northport, NY 11731-1822

Mailing address

1 9TH Ave
East Northport, NY 11731-1822
Phone (631) 261-1177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230327000189 NY Part B Supplier - Ambulance Service Supplier 7113391574 Practice locations: E Northport, 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
33D2290990East Northport Fire District1 Ninth Ave, East Northport, NY 11731Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

1 9th Ave
East Northport, NY 11731
Phone (631) 261-1177

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1376240499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 9TH AVE",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117311822",
            "telephone_number": "631-261-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 9TH AVE",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117311822",
            "telephone_number": "631-261-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST NORTHPORT FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "TARANTINO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "COMMISSIONER",
        "authorized_official_telephone_number": "631-261-1177"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Northport, NY

Sources for this page

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

Verify at the official NPI Registry.