Lakeland Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LAKELAND FIRE DISTRICT

Practice address

2415 Motor Pkwy
Ronkonkoma, NY 11779-4851

Phone

(631) 981-0368

NPI assigned

Apr 25, 2024

Organization subpart

No

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

Authorized official

Name

Joseph Fannon

Title

District Manager

Phone

(631) 981-0368

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1780430314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 JOHNSON AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MOTOR PKWY",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794851",
            "telephone_number": "631-981-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "FANNON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DISTRICT MANAGER",
        "authorized_official_telephone_number": "631-981-0368"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Labranche
• Cynthia Lacey, RN
• Christa Lafortune
• James Thomas Lahey I, LMHC
• Lake Shore Physical Therapy, P.C.
• James Lambert, DC
• Quentin Hisashi Lambert, DPT
• Latisha Lampkin, LPN
• Alyssa Lanot
• Dominique M Lanza

• Land Ambulance in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.