Organization Active NPI

Prestige Data Solutions

  • Clinic/Center
  • Laurelton, NY
National Provider Identifier
1003653577
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Jul 11, 2024

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.