Organization Active NPI

Prost Data Inc

  • Clinical Medical Laboratory
  • Brooklyn, NY
National Provider Identifier
1114245974
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
8504 Issued in NY
Legal business name
PROST DATA INC
Practice address
343 Gold St
1412
Brooklyn, NY 11201-3055
Phone
(347) 628-4378
Fax
(347) 521-1275
NPI assigned
May 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Dr. Jonathan Oppenheimer
Title
Owner
Phone
(347) 628-4378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 8504 NY Primary

Addresses

Primary practice location

343 Gold St
1412
Brooklyn, NY 11201-3055

Mailing address

PO Box 291209
Nashville, TN 37229-1209
Phone (615) 874-0410

Other identifiers 1

IdentifierTypeStateIssuer
33D2004917OtherCLIA

Other names 1

  • OUR Lab Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1114245974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291209",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372291209",
            "telephone_number": "615-874-0410",
            "fax_number": "615-345-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 GOLD ST",
            "address_2": "1412",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013055",
            "telephone_number": "347-628-4378",
            "fax_number": "347-521-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROST DATA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIMER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-628-4378",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "8504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "33D2004917",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OUR Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.