MEDICARE: LIGHTHOUSE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	0689	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609988492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIGHTHOUSE, INC.

Provider Business Mailing Address
First Line	:	510 BEACH 20TH ST
Second Line	:
City	:	FAR ROCKAWAY
State	:	NY
Zip	:	11691-3622
Country	:	US
Telephone Number	:	718-327-2865
Fax Number	:	718-634-3178

Provider Business Practice Location Address
First Line	:	510 BEACH 20TH ST
Second Line	:
City	:	FAR ROCKAWAY
State	:	NY
Zip	:	11691-3622
Country	:	US
Telephone Number	:	718-327-2865
Fax Number	:	718-634-3178

Authorized Official
Title or Position	:	BOARD MEMBER
Name	:	MR. DAVID COCKFIELD
Credential	:
Telephone Number	:	718-337-7060

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	05/14/2008

Similar Medicare Providers

1518172907 — BEACH MEDICAL REHABILITATION PC
Practice Location Address:

520 BEACH 20TH ST
FAR ROCKAWAY, NY
11691-3622

Practice Phone: 718-327-5011
Practice Fax: 718-327-1156

1518291095 — THE ROCK VOLUNTEER AMBULANCE CORPS INC.
Practice Location Address:

510 BEACH 20TH ST
FAR ROCKAWAY, NY
11691-3622

Practice Phone: 718-327-2865
Practice Fax:

1447513668 — ALPHA CHIROPRACTIC, PC
Practice Location Address:

520 BEACH 20TH ST
FAR ROCKAWAY, NY
11691-3622

Practice Phone: 718-327-5011
Practice Fax:

1497004428 — JAY A TANOY PT
Practice Location Address:

520 BEACH 20TH ST
FAR ROCKAWAY, NY
11691-3622

Practice Phone: 718-327-5011
Practice Fax: 718-327-1156

1386355337 — SAFER PHARMACY, INC.
Practice Location Address:

536 BEACH 20TH ST
FAR ROCKAWAY, NY
11691-3622

Practice Phone: 718-888-8880
Practice Fax: 718-549-8888

1033815741 — SAFER PHARMACY, INC.
Practice Location Address:

536 BEACH 20TH ST
FAR ROCKAWAY, NY
11691-3622

Practice Phone: 718-888-8880
Practice Fax: 718-549-8888

Directions to “LIGHTHOUSE, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.