Active NPI
Premier Ambulette Transportation
- Non-emergency Medical Transport (VAN)
- New Rochelle, NY
National Provider Identifier
1063587665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 01356270
- Legal business name
- PREMIER AMBULETTE TRANSPORTATION
- Practice address
- 271 North Ave Ste 1200
New Rochelle, NY 10801-5120 - Phone
- (914) 633-9151
- Fax
- (914) 633-7379
- NPI assigned
- Nov 21, 2006
- 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. Varghese Ninan
- Title
- President
- Phone
- (914) 633-9151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 01356270 | NY | Primary |
Addresses
Primary practice location
271 North Ave Ste 1200
New Rochelle, NY 10801-5120
Mailing address
271 North Ave Ste 1200
New Rochelle, NY 10801-5120
Phone (914) 633-9151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01356270 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
271 North Ave
Ste 1200
New Rochelle, NY 10801
Phone (914) 633-9151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1063587665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 NORTH AVE STE 1200",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015120",
"telephone_number": "914-633-9151",
"fax_number": "914-633-7379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 NORTH AVE STE 1200",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015120",
"telephone_number": "914-633-9151",
"fax_number": "914-633-7379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER AMBULETTE TRANSPORTATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NINAN",
"authorized_official_first_name": "VARGHESE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "914-633-9151",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NY",
"license": "01356270",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01356270",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Rochelle, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.