Active NPI
Friendly Trails Transportation Corp
- Non-emergency Medical Transport (VAN)
- Brooklyn, NY
National Provider Identifier
1013134139
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.
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 01395688
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01395688 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryNPI 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.