Kings Park Fire Dist

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

KINGS PARK FIRE DIST

Practice address

2 E Main St
Kings Park, NY 11754-2710

Phone

(631) 269-2994

NPI assigned

Feb 13, 2025

Last updated

Feb 13, 2025By 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

Catherine Gavin

Title

Dist Secretary

Phone

(631) 269-2994

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": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1932904182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E MAIN ST",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542710",
            "telephone_number": "631-269-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E MAIN ST",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542710",
            "telephone_number": "631-269-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS PARK FIRE DIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "DIST SECRETARY",
        "authorized_official_telephone_number": "631-269-2994"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary T Kenavan
• Heather F Kennedy
• Rachael Kern
• KFP Corp (Kings Park Pharmacy)
• Kings Park Central School District
• Kings Park Medicine PC
• Kings Park Physical Therapy PC
• Kings Park Podiatry PLLC
• Kings Park Primary Medical Care PC
• Sabrina Angela Klemballa

• Land Ambulance in Kings Park, NY
• Providers in Kings Park, 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 Feb 13, 2025; 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.