Active NPI
Prestige Data Solutions
- Clinic/Center
- Laurelton, NY
National Provider Identifier
1003653577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- PRESTIGE DATA SOLUTIONS
- Practice address
- 22411 135TH Ave
Laurelton, NY 11413-2013 - Phone
- (718) 581-7526
- NPI assigned
- Jul 11, 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
- Shanika Lewis
- Title
- Certified Phlebotomist
- Phone
- (718) 581-7526
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
22411 135TH Ave
Laurelton, NY 11413-2013
Mailing address
22411 135TH Ave
Laurelton, NY 11413-2013
Phone (718) 581-7526
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720656000000",
"number": "1003653577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22411 135TH AVE",
"city": "LAURELTON",
"state": "NY",
"postal_code": "114132013",
"telephone_number": "718-581-7526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22411 135TH AVE",
"city": "LAURELTON",
"state": "NY",
"postal_code": "114132013",
"telephone_number": "718-581-7526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTIGE DATA SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-11",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "SHANIKA",
"authorized_official_title_or_position": "CERTIFIED PHLEBOTOMIST",
"authorized_official_telephone_number": "718-581-7526"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurelton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.