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VILLAGE OF NISSEQUOGUE
NPI 1548943269
Ambulance - Land Transport in Saint James, NY

Active since August 09, 2023CLIA 33D2341056 · Waiver
631 MORICHES RD, SAINT JAMES, NY 11780(631) 862-7400 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Village Of Nissequogue NPPES

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

VILLAGE OF NISSEQUOGUE (NPI 1548943269) is a healthcare organization registered as a land transport in Saint James, New York and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Richard Smith, Mayor, as its authorized official.

NPPES Registry Identity

NPI1548943269
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameVILLAGE OF NISSEQUOGUE
Location Address631 MORICHES RDSaint James, NY 11780-3601
Mailing Address631 Moriches RdSaint James, NY 11780-3601
Phone(631) 862-7400
Organization SubpartNo
Authorized OfficialRichard SmithMayor · (631) 862-7400
Enumeration DateAugust 9, 2023
NPPES CertifiedAugust 9, 2023
✔ NPI 1548943269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
631 MORICHES RD, Saint James, NY 11780
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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 33D2341056

Village Of Nissequogue Fire Department · Saint James, NY
Active · expires Mar 26, 2027
CLIA Number33D2341056
Laboratory TypeAmbulance
Certificate Effective DateMarch 26, 2026
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Robert T. Marshall
Laboratory Phone(631) 862-7410
Laboratory LocationVillage Of Nissequogue Fire Department643 Moriches Rd, Saint James, NY 11780
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
204 services20 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
31 services20 patients

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 Village Of Nissequogue's NPI number?

The NPI number for Village Of Nissequogue is 1548943269. It was assigned to this organization in the NPPES registry on August 9, 2023.

Where is Village Of Nissequogue located?

Village Of Nissequogue is located at 631 Moriches Rd, Saint James, NY 11780. The listed phone number is (631) 862-7400.

What is Village Of Nissequogue's specialty?

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

Does Village Of Nissequogue hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2341056) 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 Village Of Nissequogue was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.