Active NPI
Yaphank Fire District
- Land Ambulance
- Yaphank, NY
National Provider Identifier
1891412243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230127000238 | NY | Part B Supplier - Ambulance Service Supplier | 7719358852 | Practice locations: Yaphank, 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 |
|---|---|---|---|
| 33D2306266 | Yaphank Fire District | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.