Active NPI
Fabian Arkliss
- Transportation Broker
- Englewood, NJ
National Provider Identifier
1104465137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- Practice address
- 98 Lafayette PL
Englewood, NJ 07631-3328 - Phone
- (201) 640-6534
- NPI assigned
- Dec 20, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Secured Medical Transport (VAN) | 343800000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Private Vehicle | 347C00000X | |||
| Transportation Broker | 347E00000X | Primary |
Addresses
Primary practice location
98 Lafayette PL
Englewood, NJ 07631-3328
Mailing address
98 Lafayette PL
Englewood, NJ 07631-3328
Phone (201) 640-6534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1104465137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 LAFAYETTE PL",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076313328",
"telephone_number": "201-640-6534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 LAFAYETTE PL",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076313328",
"telephone_number": "201-640-6534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARKLISS",
"first_name": "FABIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-20",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.