Active NPI
Locust Valley Fire District
- Land Ambulance
- Locust Valley, NY
National Provider Identifier
1639945884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- LOCUST VALLEY FIRE DISTRICT
- Practice address
- 228 Buckram Rd
Locust Valley, NY 11560-1925 - Phone
- (516) 676-0560
- NPI assigned
- Nov 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Bittner
- Title
- Fire House Maintainer
- Phone
- (516) 676-0560
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
228 Buckram Rd
Locust Valley, NY 11560-1925
Mailing address
228 Buckram Rd
Locust Valley, NY 11560-1925
Phone (516) 676-0560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240111000696 | NY | Part B Supplier - Ambulance Service Supplier | 7012368392 | Practice locations: Locust Valley, NY |
National Provider Directory
National Provider DirectoryLocations
228 Buckram Rd
Locust Valley, NY 11560
Phone (516) 676-0560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701216000000",
"number": "1639945884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 BUCKRAM RD",
"city": "LOCUST VALLEY",
"state": "NY",
"postal_code": "115601925",
"telephone_number": "516-676-0560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 BUCKRAM RD",
"city": "LOCUST VALLEY",
"state": "NY",
"postal_code": "115601925",
"telephone_number": "516-676-0560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOCUST VALLEY FIRE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-29",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A",
"authorized_official_last_name": "BITTNER",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "FIRE HOUSE MAINTAINER",
"authorized_official_telephone_number": "516-676-0560"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Locust Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.