Stony Brook Fire Dist

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

STONY BROOK FIRE DIST

Practice address

147 Main St
Stony Brook, NY 11790-1911

Phone

(631) 751-0460

NPI assigned

May 31, 2024

Last updated

May 31, 2024By 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

Thomas Fealey

Title

EMS Coordinator

Phone

(631) 751-0460

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1922848365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 MAIN ST",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901911",
            "telephone_number": "631-751-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 MAIN ST",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901911",
            "telephone_number": "631-751-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY BROOK FIRE DIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "FEALEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "631-751-0460"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Stony Brook, NY
• Providers in Stony Brook, 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 May 31, 2024; 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.

Verify at the official NPI Registry.