Organization Active NPI

Village of Southampton

  • Land Ambulance
  • Southampton, NY
National Provider Identifier
1659237170
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
VILLAGE OF SOUTHAMPTON
Practice address
165 Windmill LN
Southampton, NY 11968-4840
Phone
(631) 283-0247
NPI assigned
Dec 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Julie Krudop
Title
Treasurer
Phone
(631) 953-1380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

165 Windmill LN
Southampton, NY 11968-4840

Mailing address

23 Main St
Southampton, NY 11968-4808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260316003938 NY Part B Supplier - Ambulance Service Supplier 6002399201 Practice locations: Southampton, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2310561Southampton Village Volunteer Emergency165 Windmill Lane, Southampton, NY 11968Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

165 Windmill Ln
Southampton, NY 11968
Phone (631) 283-0247

23 Main St
Southampton, NY 11968

NPI Registry JSON

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1659237170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MAIN ST",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119684808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WINDMILL LN",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119684840",
            "telephone_number": "631-283-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF SOUTHAMPTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "KRUDOP",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "631-953-1380"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.