Organization Active NPI

Manhasset-Lakeville Fire District

  • Land Ambulance
  • Great Neck, NY
National Provider Identifier
1679295372
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MANHASSET-LAKEVILLE FIRE DISTRICT
Practice address
25 Prospect St
Great Neck, NY 11021-3816
Phone
(516) 466-4423
NPI assigned
Sep 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Hilary Grossman
Title
Business Manager
Phone
(516) 466-4423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

25 Prospect St
Great Neck, NY 11021-3816

Mailing address

170 E Shore Rd
Great Neck, NY 11023-2408
Phone (516) 466-4423

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230103001019 NY Part B Supplier - Ambulance Service Supplier 3577933886 Practice locations: Great Neck, NY

National Provider Directory

National Provider Directory

Locations

170 E Shore Rd
Great Neck, NY 11023

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1679295372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 E SHORE RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232408",
            "telephone_number": "516-466-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 PROSPECT ST",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213816",
            "telephone_number": "516-466-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHASSET-LAKEVILLE FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "HILARY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "516-466-4423"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.