Organization Active NPI

West Islip Fire District

  • Land Ambulance
  • West Islip, NY
National Provider Identifier
1902539810
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
WEST ISLIP FIRE DISTRICT
Practice address
309 Union Blvd
West Islip, NY 11795-3114
Phone
(631) 661-6440
NPI assigned
Jul 7, 2022
Last updated
Jul 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
Robert Simpson
Title
District Manager
Phone
(631) 661-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

309 Union Blvd
West Islip, NY 11795-3114

Mailing address

309 Union Blvd
West Islip, NY 11795-3114

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220822000370 NY Part B Supplier - Ambulance Service Supplier 0345623518 Practice locations: West Islip, 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
33D2300412West Islip Fire District309 Union Blvd, West Islip, NY 11795Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

309 Union Blvd
West Islip, NY 11795
Phone (631) 661-6440

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1902539810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 UNION BLVD",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117953114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 UNION BLVD",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117953114",
            "telephone_number": "631-661-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ISLIP FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DISTRICT MANAGER",
        "authorized_official_telephone_number": "631-661-6440"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

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