ROOSEVELT FIRE DIST
NPI 1346164712
Ambulance - Land Transport in Roosevelt, NY

Active since August 07, 2026CLIA 33D2338004 · Waiver
55 W CENTENNIAL AVE, ROOSEVELT, NY 11575(516) 351-7884 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Roosevelt Fire Dist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROOSEVELT FIRE DIST (NPI 1346164712) is a healthcare organization registered as a land transport in Roosevelt, New York and active in the NPI registry since August 2026. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Shajarah Williams, Commissioner, as its authorized official.

NPPES Registry Identity

NPI1346164712
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameROOSEVELT FIRE DIST
Location Address55 W CENTENNIAL AVERoosevelt, NY 11575
Mailing Address55 W Centennial AveRoosevelt, NY 11575
Organization SubpartNo
Authorized OfficialShajarah WilliamsCommissioner · (516) 351-7884
Enumeration DateAugust 7, 2026
NPPES CertifiedJuly 28, 2026
✔ NPI 1346164712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
55 W CENTENNIAL AVE, Roosevelt, NY 11575

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2338004

Roosevelt Fire District · Roosevelt, NY
Active · expires Mar 26, 2027
CLIA Number33D2338004
Laboratory TypeAmbulance
Certificate Effective DateFebruary 3, 2026
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Neil B. Kirschen
Laboratory Phone(516) 351-5807
Laboratory LocationRoosevelt Fire District56 W Centennial Ave, Roosevelt, NY 11575
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roosevelt Fire Dist's NPI number?

The NPI number for Roosevelt Fire Dist is 1346164712. It was assigned to this organization in the NPPES registry on August 7, 2026.

Where is Roosevelt Fire Dist located?

Roosevelt Fire Dist is located at 55 W Centennial Ave, Roosevelt, NY 11575. The listed phone number is (516) 351-7884.

What is Roosevelt Fire Dist's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Roosevelt Fire Dist hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2338004) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Roosevelt Fire Dist was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.