Organization Active NPI

ASC Transportation

  • Non-emergency Medical Transport (VAN)
  • Forest Hills, NY
National Provider Identifier
1013192749
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ASC TRANSPORTATION
Practice address
10839 67TH Dr
Forest Hills, NY 11375-2945
Phone
(718) 261-7399
Fax
(718) 261-4662
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Alexander Yakubov
Title
President
Phone
(718) 261-7399

Specialties & licenses 1

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

Addresses

Primary practice location

10839 67TH Dr
Forest Hills, NY 11375-2945

Mailing address

10839 67TH Dr
Forest Hills, NY 11375-2945
Phone (718) 261-7399

Other identifiers 1

IdentifierTypeStateIssuer
01824024MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1013192749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10839 67TH DR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752945",
            "telephone_number": "718-261-7399",
            "fax_number": "718-261-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10839 67TH DR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752945",
            "telephone_number": "718-261-7399",
            "fax_number": "718-261-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASC TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "YAKUBOV",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-261-7399"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01824024",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.