Coram Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CORAM FIRE DISTRICT

Practice address

303 Middle Country Rd
Coram, NY 11727-4401

Phone

(631) 732-5891

NPI assigned

Jun 22, 2023

Last updated

Jun 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vandorn Johnson IV

Title

District Manager

Phone

(631) 732-5891

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1912683319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MIDDLE COUNTRY RD",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MIDDLE COUNTRY RD",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274401",
            "telephone_number": "631-732-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAM FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VANDORN",
        "authorized_official_title_or_position": "DISTRICT MANAGER",
        "authorized_official_telephone_number": "631-732-5891",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Lynn Colasuonno, LMHC
• Vincent Coltellino, OD
• Compass NP in Psychiatry and Family Health NP, PLLC
• Marilyn F Conner, CANP
• Coram Drugs Inc. (yore-x drugs and surgicals)
• Coram Hills Eyecare Optometry & Opthalmic Dispensing PLLC
• Coram Podiatry PLLC
• Coram RX LTD (Prescription Centre)
• Alicia Cordner, MA, CCC-SLP
• Karen Cordoves, R.N.

• Land Ambulance in Coram, NY
• Providers in Coram, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.