Organization Active NPI

Premier Ambulette Transportation

  • Non-emergency Medical Transport (VAN)
  • New Rochelle, NY
National Provider Identifier
1063587665
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
01356270 Issued in NY
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01356270MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.