Organization Active NPI

Medi Active Wheels LLC

  • Non-emergency Medical Transport (VAN)
  • Lake Ronkonkoma, NY
National Provider Identifier
1043194616
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MEDI ACTIVE WHEELS LLC
Practice address
600 Portion Rd Unit 10
Lake Ronkonkoma, NY 11779-1867
Phone
(631) 599-0933
NPI assigned
Aug 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Serfraz Ahmed
Title
Owner
Phone
(631) 599-0933

Specialties & licenses 1

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

Addresses

Primary practice location

600 Portion Rd Unit 10
Lake Ronkonkoma, NY 11779-1867

Mailing address

600 Portion Rd Unit 10
Lake Ronkonkoma, NY 11779-1867

National Provider Directory

National Provider Directory

Locations

600 Portion Rd
Unit 10
Lake Ronkonkoma, NY 11779
Phone (631) 599-0933

NPI Registry JSON

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1043194616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PORTION RD UNIT 10",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117791867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PORTION RD UNIT 10",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117791867",
            "telephone_number": "631-599-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI ACTIVE WHEELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SERFRAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-599-0933"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.