Clay Transportation Inc

Primary specialty

DriverTaxonomy code 172A00000X

License

B03123

Legal business name

CLAY TRANSPORTATION INC

Practice address

1831 Grand Concourse FRNT C
Bronx, NY 10453-6324

Phone

(718) 942-5544

NPI assigned

Aug 21, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Juan Pena

Title

President

Phone

(718) 710-0953

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BLACK CAR SERVICE Doing business as

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1063992873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 GRAND CONCOURSE FRNT C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104536324",
            "telephone_number": "718-942-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 GRAND CONCOURSE FRNT C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104536324",
            "telephone_number": "718-942-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-710-0953",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": null,
            "license": "B03123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04026528",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLACK CAR SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmen Claudio, LCSW
• Criscelis Adelis Claudio, LMSW
• Wendalina Claudio, LCSW
• Angelique Marie Clavell
• Hazeldine Eudora Claxton, B.S.
• Tyrell Kamal Clay, FNP
• Prince D. Clayman, DDS
• Elizabeth Clayton
• Karen Clayton
• Yvette Sharon Clayton

• Driver in Bronx, NY
• Providers in Bronx, NY by specialty
• Driver in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.