Active NPI
Woodmere Fire District
- Land Ambulance
- Woodmere, NY
National Provider Identifier
1881425304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- WOODMERE FIRE DISTRICT
- Practice address
- 20 Irving PL
Woodmere, NY 11598-1230 - Phone
- (516) 821-3628
- NPI assigned
- Aug 8, 2024
- Last updated
- Aug 8, 2024
- 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
- Daivd Haller
- Title
- Secretary
- Phone
- (516) 821-3628
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
20 Irving PL
Woodmere, NY 11598-1230
Mailing address
20 Irving PL
Woodmere, NY 11598-1230
Phone (516) 821-3628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240823000156 | NY | Part B Supplier - Ambulance Service Supplier | 2668911579 | Practice locations: Woodmere, 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 |
|---|---|---|---|
| 33D1082963 | Woodmere Fire District | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
20 Irving Pl
Woodmere, NY 11598
Phone (516) 821-3628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723075200000",
"number": "1881425304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 IRVING PL",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115981230",
"telephone_number": "516-821-3628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 IRVING PL",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115981230",
"telephone_number": "516-821-3628"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODMERE FIRE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-08",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A",
"authorized_official_last_name": "HALLER",
"authorized_official_first_name": "DAIVD",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "516-821-3628"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodmere, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.