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PORT JEFFERSON VOLUNTEER AMBULANCE INC
NPI 1982923397
Ambulance in Mount Sinai, NY

Active since May 25, 2010CLIA 33D2051318 · Waiver
25 CRYSTAL BROOK HOLLOW RD, MOUNT SINAI, NY 11766(631) 473-2519(631) 476-6716 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Port Jefferson Volunteer Ambulance Inc NPPES

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

PORT JEFFERSON VOLUNTEER AMBULANCE INC (NPI 1982923397) is a healthcare organization registered as an ambulance in Mount Sinai, New York and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jason Lazerus, Chief Of Training, as its authorized official.

NPPES Registry Identity

NPI1982923397
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NamePORT JEFFERSON VOLUNTEER AMBULANCE INC
Location Address25 CRYSTAL BROOK HOLLOW RDMount Sinai, NY 11766-1612
Mailing AddressPo Box 264Port Jefferson, NY 11777-0264 · (631) 473-2519 · Fax (631) 476-6716
Phone(631) 473-2519
Fax(631) 476-6716
Organization SubpartNo
Authorized OfficialJason LazerusChief Of Training · (631) 473-2519
Enumeration DateMay 25, 2010
Last NPPES UpdateFebruary 5, 2026
NPPES CertifiedFebruary 5, 2026
✔ NPI 1982923397 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).
25 CRYSTAL BROOK HOLLOW RD, Mount Sinai, NY 11766
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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 33D2051318

Port Jefferson Volunteer Ambulance Inc · Mount Sinai, NY
Active · expires Mar 26, 2027
CLIA Number33D2051318
Laboratory TypeAmbulance
Certificate Effective DateDecember 18, 2012
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Carl Goodman
Laboratory Phone(631) 473-2519
Laboratory LocationPort Jefferson Volunteer Ambulance Inc25 Crystal Brook Hollow Road, Mount Sinai, NY 11766
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.
4,561 services799 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.
941 services597 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
159 services155 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
105 services98 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 Port Jefferson Volunteer Ambulance Inc's NPI number?

The NPI number for Port Jefferson Volunteer Ambulance Inc is 1982923397. It was assigned to this organization in the NPPES registry on May 25, 2010.

Where is Port Jefferson Volunteer Ambulance Inc located?

Port Jefferson Volunteer Ambulance Inc is located at 25 Crystal Brook Hollow Rd, Mount Sinai, NY 11766. The listed phone number is (631) 473-2519.

What is Port Jefferson Volunteer Ambulance Inc's specialty?

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

Does Port Jefferson Volunteer Ambulance Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2051318) 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 Port Jefferson Volunteer Ambulance Inc was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.