NPIMap

Organization Active NPI

Medtrans Black Car Service Corp

  • Non-emergency Medical Transport (VAN)
  • Ridgewood, NY
National Provider Identifier
1124474077
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
B02943 Issued in NY
Legal business name
MEDTRANS BLACK CAR SERVICE CORP
Practice address
5619 Metropolitan Ave
Suite 4
Ridgewood, NY 11385-1958
Phone
(347) 704-1619
NPI assigned
May 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Authorized official

Name
Aaron Baidoo
Title
Secrectary
Phone
(929) 442-3963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X B02943 NY Primary

Addresses

Primary practice location

5619 Metropolitan Ave
Suite 4
Ridgewood, NY 11385-1958

Mailing address

56-19 Metropolitan Ave
Suite 4
Queens, NY 11385
Phone (347) 704-6919

National Provider Directory

National Provider Directory

Locations

5619 Metropolitan Ave
Ste 4
Ridgewood, NY 11385
Phone (347) 704-1619

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1124474077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56-19 METROPOLITAN AVE",
            "address_2": "SUITE 4",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "11385",
            "telephone_number": "347-704-6919",
            "fax_number": "347-704-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5619 METROPOLITAN AVE",
            "address_2": "SUITE 4",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851958",
            "telephone_number": "347-704-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTRANS BLACK CAR SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "BAIDOO",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "SECRECTARY",
        "authorized_official_telephone_number": "929-442-3963"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "B02943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.