Active NPI
Atlantic Beach Fire District
- Land Ambulance
- Atlantic Beach, NY
National Provider Identifier
1891413720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- ATLANTIC BEACH FIRE DISTRICT
- Practice address
- 1 Rescue Rd
Atlantic Beach, NY 11509-1247 - Phone
- (347) 234-2915
- NPI assigned
- Aug 17, 2022
- Last updated
- Mar 27, 2023
- 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
- Brian Williams
- Title
- EMS Coordinator
- Phone
- (347) 234-2915
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
1 Rescue Rd
Atlantic Beach, NY 11509-1247
Mailing address
PO Box 95
Atlantic Beach, NY 11509-0095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221109000338 | NY | Part B Supplier - Ambulance Service Supplier | 5890162523 | Practice locations: Atlantic Beach, NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679875200000",
"number": "1891413720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95",
"city": "ATLANTIC BEACH",
"state": "NY",
"postal_code": "115090095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RESCUE RD",
"city": "ATLANTIC BEACH",
"state": "NY",
"postal_code": "115091247",
"telephone_number": "347-234-2915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC BEACH FIRE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-17",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "EMS COORDINATOR",
"authorized_official_telephone_number": "347-234-2915"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlantic Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.