Board of Fire Commissioners of Copiague Fire Dist

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BOARD OF FIRE COMMISSIONERS OF COPIAGUE FIRE DIST

Practice address

320 Great Neck Rd
Copiague, NY 11726-3805

Phone

(631) 559-8000

Fax

(631) 842-1408

NPI assigned

Jul 21, 2022

Organization subpart

No

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

Authorized official

Name

Mr. David Roth

Title

EMS Director

Phone

(631) 559-8000

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1497480602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 GREAT NECK RD",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117263805",
            "telephone_number": "631-559-8000",
            "fax_number": "631-842-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 GREAT NECK RD",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117263805",
            "telephone_number": "631-559-8000",
            "fax_number": "631-842-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF FIRE COMMISSIONERS OF COPIAGUE FIRE DIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "631-559-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasha Benoit
• Leonard Arthur Berlin, DO
• Ewa Bhola
• Deon Angela Bird
• Bishop Ryan Residence
• Jill Marie Bose, RN
• Karen Bouchereau, RN
• Eleanor Lottie Bristol
• Hernan Brito
• Urszula Grazyna Brozek, MSPT

• Land Ambulance in Copiague, NY
• Providers in Copiague, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.