Village of Nissequogue

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

VILLAGE OF NISSEQUOGUE

Practice address

631 Moriches Rd
Saint James, NY 11780-3601

Phone

(631) 862-7400

NPI assigned

Aug 9, 2023

Organization subpart

No

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

Authorized official

Name

Richard Smith

Title

Mayor

Phone

(631) 862-7400

Specialties & licenses 1

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": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1548943269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 MORICHES RD",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117803601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 MORICHES RD",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117803601",
            "telephone_number": "631-862-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF NISSEQUOGUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MAYOR",
        "authorized_official_telephone_number": "631-862-7400"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella Vanegas
• Srikanth Venigalla, PHARMD
• Erica Vigliante
• Tracy Vilardi, RN
• Christina M Vilbig
• Karen Marie Vittoria
• David Volkman, M.D.
• Eileen Roberta Wagner, BSN RN
• Alicia Wallace, M.A. CCC-SLP
• Dawn Walsh, R.N.

• Land Ambulance in Saint James, NY
• Providers in Saint James, 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 Aug 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.