Port Jefferson Volunteer Ambulance Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

PORT JEFFERSON VOLUNTEER AMBULANCE INC

Practice address

25 Crystal Brook Hollow Rd
Mount Sinai, NY 11766-1612

Phone

(631) 473-2519

Fax

(631) 476-6716

NPI assigned

May 25, 2010

Organization subpart

No

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

Authorized official

Name

Jason Lazerus, EMT-CC

Title

Chief of Training

Phone

(631) 473-2519

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": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1982923397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 264",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117770264",
            "telephone_number": "631-473-2519",
            "fax_number": "631-476-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CRYSTAL BROOK HOLLOW RD",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117661612",
            "telephone_number": "631-473-2519",
            "fax_number": "631-476-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT JEFFERSON VOLUNTEER AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "LAZERUS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CHIEF OF TRAINING",
        "authorized_official_telephone_number": "631-473-2519",
        "authorized_official_credential": "EMT-CC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Perry, LCSW
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• Lawrence A. Propper, MSW LCSW
• Kristen Quinn

• Ambulance in Mount Sinai, NY
• Providers in Mount Sinai, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.