Active NPI
Prost Data Inc
- Clinical Medical Laboratory
- Brooklyn, NY
National Provider Identifier
1114245974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 8504
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33D2004917 | Other | CLIA |
Other names 1
- OUR Lab
National Provider Directory
National Provider DirectoryOwnership & 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.
-
- Clinical Medical Laboratory
- Bellerose, NY
- NPI 1245472380
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.