Organization Active NPI

Lighthouse, Inc.

  • Land Ambulance
  • Far Rockaway, NY
National Provider Identifier
1609988492
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0689 Issued in NY
Legal business name
LIGHTHOUSE, INC.
Doing business as
The Rock Volunteer Ambulance Service
Practice address
510 Beach 20TH St
Far Rockaway, NY 11691-3622
Phone
(718) 327-2865
Fax
(718) 634-3178
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Mr. David Cockfield
Title
Board Member
Phone
(718) 337-7060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0689 NY Primary

Addresses

Primary practice location

510 Beach 20TH St
Far Rockaway, NY 11691-3622

Mailing address

510 Beach 20TH St
Far Rockaway, NY 11691-3622
Phone (718) 327-2865

Other identifiers 1

IdentifierTypeStateIssuer
02655443MedicaidNY

Other names 1

  • The Rock Volunteer Ambulance Service Doing business as

National Provider Directory

National Provider Directory

Locations

510 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 327-2865

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1609988492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913622",
            "telephone_number": "718-327-2865",
            "fax_number": "718-634-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913622",
            "telephone_number": "718-327-2865",
            "fax_number": "718-634-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "COCKFIELD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "718-337-7060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "0689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02655443",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rock Volunteer Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.