Organization Active NPI

New Experience #1, Inc.

  • Taxi
  • Long Island City, NY
National Provider Identifier
1013374404
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
B01467 Issued in NY
Legal business name
NEW EXPERIENCE #1, INC.
Practice address
3833 29TH St
Long Island City, NY 11101-2714
Phone
(718) 729-0000
Fax
(718) 729-2024
NPI assigned
Jan 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Edward Leon
Title
Vice President
Phone
(718) 729-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X B01467 NY Primary

Addresses

Primary practice location

3833 29TH St
Long Island City, NY 11101-2714

Mailing address

3833 29TH St
Long Island City, NY 11101-2714
Phone (718) 729-0000

Other identifiers 1

IdentifierTypeStateIssuer
04173800MedicaidNY

National Provider Directory

National Provider Directory

Locations

3833 29th St
Long Island City, NY 11101
Phone (718) 729-0000

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1013374404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 29TH ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012714",
            "telephone_number": "718-729-0000",
            "fax_number": "718-729-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 29TH ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012714",
            "telephone_number": "718-729-0000",
            "fax_number": "718-729-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW EXPERIENCE #1, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "718-729-0000"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "NY",
            "license": "B01467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04173800",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.