Organization Active NPI

Yaphank Fire District

  • Land Ambulance
  • Yaphank, NY
National Provider Identifier
1891412243
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
YAPHANK FIRE DISTRICT
Practice address
31 Main St
Yaphank, NY 11980-1501
Phone
(631) 924-3200
NPI assigned
Oct 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Matthew Quinn
Title
District Manager
Phone
(631) 924-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

31 Main St
Yaphank, NY 11980-1501

Mailing address

31 Main St
Yaphank, NY 11980-1501
Phone (631) 924-3200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230127000238 NY Part B Supplier - Ambulance Service Supplier 7719358852 Practice locations: Yaphank, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2306266Yaphank Fire District31 Main St, Yaphank, NY 11980Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

31 Main St
Yaphank, NY 11980
Phone (631) 924-3200

NPI Registry JSON

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1891412243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MAIN ST",
            "city": "YAPHANK",
            "state": "NY",
            "postal_code": "119801501",
            "telephone_number": "631-924-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MAIN ST",
            "city": "YAPHANK",
            "state": "NY",
            "postal_code": "119801501",
            "telephone_number": "631-924-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAPHANK FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DISTRICT MANAGER",
        "authorized_official_telephone_number": "631-924-3200"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yaphank, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.

Verify at the official NPI Registry.