Organization Active NPI

East Farmingdale Volunteer Fire Co Inc

  • Land Ambulance
  • Farmingdale, NY
National Provider Identifier
1962239277
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
EAST FARMINGDALE VOLUNTEER FIRE CO INC
Practice address
930 Conklin St
Farmingdale, NY 11735-2413
Phone
(631) 335-3750
NPI assigned
Sep 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Jennifer Sheehan
Title
Administrative Assistant
Phone
(631) 335-3750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

930 Conklin St
Farmingdale, NY 11735-2413

Mailing address

930 Conklin St
Farmingdale, NY 11735-2413
Phone (631) 335-3750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241015000509 NY Part B Supplier - Ambulance Service Supplier 8022540145 Practice locations: Farmingdale, 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
33D2288976East Farmingdale Volunteer Fire Company Inc930 Conklin St, Farmingdale, NY 11735Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

930 Conklin St
Farmingdale, NY 11735
Phone (631) 335-3750

NPI Registry JSON

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1962239277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 CONKLIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352413",
            "telephone_number": "631-335-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 CONKLIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352413",
            "telephone_number": "631-335-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST FARMINGDALE VOLUNTEER FIRE CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "631-335-3750"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.