Organization Active NPI

Friendly Trails Transportation Corp

  • Non-emergency Medical Transport (VAN)
  • Brooklyn, NY
National Provider Identifier
1013134139
Registry record updated Aug 22, 2020
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(5) exclusion effective Aug 20, 2007.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
01395688 Issued in NY
Legal business name
FRIENDLY TRAILS TRANSPORTATION CORP
Practice address
1738 49TH St
Brooklyn, NY 11204-1218
Phone
(718) 853-5353
Fax
(718) 437-3816
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Wolf Toder
Title
President
Phone
(718) 853-5353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 01395688 NY Primary

Addresses

Primary practice location

1738 49TH St
Brooklyn, NY 11204-1218

Mailing address

1738 49TH St
Brooklyn, NY 11204-1218
Phone (718) 853-5353

Other identifiers 1

IdentifierTypeStateIssuer
01395688MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013134139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 49TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041218",
            "telephone_number": "718-853-5353",
            "fax_number": "718-437-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 49TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041218",
            "telephone_number": "718-853-5353",
            "fax_number": "718-437-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY TRAILS TRANSPORTATION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TODER",
        "authorized_official_first_name": "WOLF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-853-5353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "01395688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01395688",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.