Farmingville Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

FARMINGVILLE FIRE DISTRICT

Practice address

780 Horseblock Rd
Farmingville, NY 11738-1226

Phone

(631) 732-6611

Fax

(631) 732-6626

NPI assigned

Jan 24, 2023

Organization subpart

No

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

Authorized official

Name

Allen Olsen Jr.

Title

District Manager

Phone

(631) 732-6611

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1558077586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 HORSEBLOCK RD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381226",
            "telephone_number": "631-732-6611",
            "fax_number": "631-732-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 HORSEBLOCK RD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381226",
            "telephone_number": "631-732-6611",
            "fax_number": "631-732-6626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080 Portion Rd",
            "address_purpose": "LOCATION",
            "city": "Farmingville",
            "state": "NY",
            "postal_code": "117382223",
            "country_code": "US",
            "telephone_number": "631-732-6611",
            "fax_number": "631-732-6626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FARMINGVILLE FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "DISTRICT MANAGER",
        "authorized_official_telephone_number": "631-732-6611",
        "authorized_official_name_suffix": "Jr."
    },
    "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": []
}

• Matthew Edwards
• Mitchell W Ehrlich, M.D.
• Lizzie Espinal, MASTERS
• Patricia A Faele, MS
• Benjamin Farmer, M.D.
• Farmingville Mental Health
• Farmingville Mental Health Clinic
• Farmingville MHC
• Dawnmarie Fenech, LPN
• Jill M Ficurilli, BSN

• Land Ambulance in Farmingville, NY
• Providers in Farmingville, 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 Jan 24, 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.