Mega Line Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

B90648 Issued in NY

Legal business name

MEGA LINE INC

Practice address

6129 Woodhaven Blvd
Rego Park, NY 11374-2739

Phone

(718) 639-0200

Fax

(718) 507-1617

NPI assigned

Mar 27, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Rafi Gavrielov

Title

President

Phone

(718) 639-0200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1003088212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6129 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742739",
            "telephone_number": "718-639-0200",
            "fax_number": "718-507-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6129 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742739",
            "telephone_number": "718-639-0200",
            "fax_number": "718-507-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGA LINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "GAVRIELOV",
        "authorized_official_first_name": "RAFI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-639-0200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NY",
            "license": "B90648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02948263",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Med Assist Corp
• Med RX Pharmacy, Inc (Med Rx Pharmacy)
• Medaid Inc.
• Medical State of Queens
• Priscila Medina, RN, IBCLC
• Sifat Mehjabeen, PHARM.D
• Ariel Meirov
• Suri Meirov
• Elliot Meisenberg, M.D.
• Nancy Melamed, DDS

• Ambulance in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.