Organization Active NPI

South Farmingdale Fire District

  • Land Ambulance
  • Farmingdale, NY
National Provider Identifier
1780442558
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SOUTH FARMINGDALE FIRE DISTRICT
Practice address
819 Main St
Farmingdale, NY 11735-4140
Phone
(516) 249-8898
NPI assigned
Mar 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Keriaki Psorakis
Title
Secretary
Phone
(516) 249-8898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

819 Main St
Farmingdale, NY 11735-4140

Mailing address

819 Main St
Farmingdale, NY 11735-4140
Phone (516) 249-8898

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240417000040 NY Part B Supplier - Ambulance Service Supplier 1850730334 Practice locations: Farmingdale, NY

National Provider Directory

National Provider Directory

Locations

819 Main St
Farmingdale, NY 11735
Phone (516) 249-8898

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1780442558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 MAIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354140",
            "telephone_number": "516-249-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 MAIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354140",
            "telephone_number": "516-249-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FARMINGDALE FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "PSORAKIS",
        "authorized_official_first_name": "KERIAKI",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "516-249-8898"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.