Organization Active NPI

Shalom Ambulette Inc

  • Non-emergency Medical Transport (VAN)
  • White Plains, NY
National Provider Identifier
1013116516
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
36042 Issued in NY
Legal business name
SHALOM AMBULETTE INC
Practice address
600 N Broadway
Suite #218
White Plains, NY 10603-2466
Phone
(914) 285-3397
NPI assigned
Jul 13, 2007
Last updated
Jul 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Mr. Jose Eapen
Title
President
Phone
(914) 285-3397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 36042 NY Primary

Addresses

Primary practice location

600 N Broadway
Suite #218
White Plains, NY 10603-2466

Mailing address

600 N Broadway
Suite #218
White Plains, NY 10603-2466
Phone (914) 285-3397

Other identifiers 1

IdentifierTypeStateIssuer
02518936MedicaidNY

National Provider Directory

National Provider Directory

Locations

600 N Broadway
Ste 218
White Plains, NY 10603
Phone (914) 285-3397

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1013116516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N BROADWAY",
            "address_2": "SUITE #218",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106032466",
            "telephone_number": "914-285-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N BROADWAY",
            "address_2": "SUITE #218",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106032466",
            "telephone_number": "914-285-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM AMBULETTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "EAPEN",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-285-3397",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "36042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02518936",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.