Organization Active NPI

Mytrans Corp.

  • Non-emergency Medical Transport (VAN)
  • Brooklyn, NY
National Provider Identifier
1164874608
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
B90715 Issued in NY
Legal business name
MYTRANS CORP.
Practice address
1208 Avenue M Ste 2423
Brooklyn, NY 11230-5204
Phone
(646) 879-9621
NPI assigned
Jul 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Authorized official

Name
Jack Fleischmann
Title
President
Phone
(646) 879-9621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X B90715 NY Primary

Addresses

Primary practice location

1208 Avenue M Ste 2423
Brooklyn, NY 11230-5204

Mailing address

1208 Avenue M Ste 2423
Brooklyn, NY 11230-5204
Phone (646) 879-9621

Other identifiers 1

IdentifierTypeStateIssuer
02743319MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Mytrans Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1208 Avenue M
Ste 2423
Brooklyn, NY 11230
Phone (646) 879-9621

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1164874608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 AVENUE M STE 2423",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305204",
            "telephone_number": "646-879-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 AVENUE M STE 2423",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305204",
            "telephone_number": "646-879-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYTRANS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "FLEISCHMANN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-879-9621"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "B90715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02743319",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 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.