Lestat Corp

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

LESTAT CORP

Practice address

651 Riverside Ave Apt C47
Lyndhurst, NJ 07071-3069

Phone

(201) 335-0134

NPI assigned

Dec 24, 2019

Organization subpart

No

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

Authorized official

Name

Nazar Burak

Title

Owner

Phone

(201) 747-0141

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1053950915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825406",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191825406",
            "telephone_number": "201-335-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 RIVERSIDE AVE APT C47",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713069",
            "telephone_number": "201-335-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESTAT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-24",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "BURAK",
        "authorized_official_first_name": "NAZAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-747-0141"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Langewisch, OT
• Maria Josie Leal Quintero, BCBA
• John Keun Lee, DMD
• Kevin K Lee, RPH
• Younghee Lee, DDS
• Levy's Pharmacy of Lyndhurst LLC
• Levy's Pharmacy of Lyndhurst LLC
• Christine Kelly Lew, PT, DPT
• Nicole Marie Liloia, LCSW
• Evgeniya Liminik, APN

• Non-emergency Medical Transport (VAN) in Lyndhurst, NJ
• Providers in Lyndhurst, NJ by specialty
• Non-emergency Medical Transport (VAN) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.