Active NPI
CCM Ny LLC
- Non-emergency Medical Transport (VAN)
- Long Island City, NY
National Provider Identifier
1003624982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- CCM NY LLC
- Practice address
- 4533 37TH St
Long Island City, NY 11101-1842 - Phone
- (718) 450-1047
- NPI assigned
- Dec 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Renat Naymanov
- Title
- President
- Phone
- (718) 450-1047
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary | ||
| Taxi | 344600000X |
Addresses
Primary practice location
4533 37TH St
Long Island City, NY 11101-1842
Mailing address
4533 37TH St
Long Island City, NY 11101-1842
Phone (718) 450-1047
National Provider Directory
National Provider DirectoryLocations
4533 37th St
Long Island City, NY 11101
Phone (347) 228-5588
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Taxi
- Long Island City, NY
- NPI 1821697368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734912000000",
"number": "1003624982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4533 37TH ST",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111011842",
"telephone_number": "718-450-1047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4533 37TH ST",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111011842",
"telephone_number": "718-450-1047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CCM NY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-23",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A",
"authorized_official_last_name": "NAYMANOV",
"authorized_official_first_name": "RENAT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-450-1047",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
},
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.