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LAKE RONKONKOMA FIRE DISTRICT
NPI 1871373126
Ambulance in Lake Ronkonkoma, NY

Active since October 04, 2023CLIA 33D2289729 · Waiver
177 PORTION RD, LAKE RONKONKOMA, NY 11779(860) 257-9201 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2025, Apr 5, 2024, Oct 4, 2023 (3 updates tracked since 2023).

About Lake Ronkonkoma Fire District NPPES

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

LAKE RONKONKOMA FIRE DISTRICT (NPI 1871373126) is a healthcare organization registered as an ambulance in Lake Ronkonkoma, New York and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jennifer Dow, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1871373126
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameLAKE RONKONKOMA FIRE DISTRICT
Location Address177 PORTION RDLake Ronkonkoma, NY 11779-2341
Mailing AddressPo Box 290184Wethersfield, CT 06129-0184 · (860) 257-9201
Phone(860) 257-9201
Organization SubpartNo
Authorized OfficialJennifer DowAuthorized Official · (860) 257-9201
Enumeration DateOctober 4, 2023
Last NPPES UpdateJanuary 7, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
✔ NPI 1871373126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
177 PORTION RD, Lake Ronkonkoma, NY 11779
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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 33D2289729

Lake Ronkonkoma Fire District · Ronkonkoma, NY
Active · expires Mar 26, 2027
CLIA Number33D2289729
Laboratory TypeAmbulance
Certificate Effective DateSeptember 14, 2023
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Daryl Williams
Laboratory Phone(631) 588-8204
Laboratory LocationLake Ronkonkoma Fire District177 Portion Rd, Ronkonkoma, NY 11779
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.
409 services49 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.
45 services42 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 Lake Ronkonkoma Fire District's NPI number?

The NPI number for Lake Ronkonkoma Fire District is 1871373126. It was assigned to this organization in the NPPES registry on October 4, 2023.

Where is Lake Ronkonkoma Fire District located?

Lake Ronkonkoma Fire District is located at 177 Portion Rd, Lake Ronkonkoma, NY 11779. The listed phone number is (860) 257-9201.

What is Lake Ronkonkoma Fire District's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Lake Ronkonkoma Fire District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2289729) 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 Lake Ronkonkoma Fire District was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.