Organization Active NPI

Foury4

  • Non-emergency Medical Transport (VAN)
  • Fayetteville, NY
National Provider Identifier
1073393583
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
FOURY4
Practice address
5100 Highbridge St Apt 31a
Fayetteville, NY 13066-2445
Phone
(315) 746-1601
NPI assigned
Oct 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Mohammad Mabrouk
Title
Owner
Phone
(315) 746-1601

Specialties & licenses 1

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

Addresses

Primary practice location

5100 Highbridge St Apt 31a
Fayetteville, NY 13066-2445

Mailing address

5100 Highbridge St Apt 31a
Fayetteville, NY 13066-2445
Phone (315) 746-1601

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1073393583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 HIGHBRIDGE ST APT 31A",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130662445",
            "telephone_number": "315-746-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 HIGHBRIDGE ST APT 31A",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130662445",
            "telephone_number": "315-746-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOURY4",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "MABROUK",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-746-1601"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.