Active NPI
Village of Lindenhurst Inc
- Ambulance
- Lindenhurst, NY
National Provider Identifier
1770264129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- VILLAGE OF LINDENHURST INC
- Practice address
- 225 S Wellwood Ave
Lindenhurst, NY 11757-4904 - Phone
- (631) 957-7530
- NPI assigned
- Jul 28, 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
- Alejandro Calas
- Title
- EMS Supervisor
- Phone
- (631) 957-7530
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary | ||
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
225 S Wellwood Ave
Lindenhurst, NY 11757-4904
Mailing address
225 S Wellwood Ave
Lindenhurst, NY 11757-4904
Phone (631) 957-7530
Other names 1
- Village of Lindenhurst Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230914000189 | NY | Part B Supplier - Ambulance Service Supplier | 9335503036 | Practice locations: Lindenhurst, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2293546 | Village of Lindenhurst Fire Department | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
225 S Wellwood Ave
Lindenhurst, NY 11757
Phone (631) 957-7530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690502400000",
"number": "1770264129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S WELLWOOD AVE",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117574904",
"telephone_number": "631-957-7530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 S WELLWOOD AVE",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117574904",
"telephone_number": "631-957-7530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF LINDENHURST INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-28",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A",
"authorized_official_last_name": "CALAS",
"authorized_official_first_name": "ALEJANDRO",
"authorized_official_title_or_position": "EMS SUPERVISOR",
"authorized_official_telephone_number": "631-957-7530"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Village of Lindenhurst Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lindenhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.