Fatai Lasisi

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

668842755 Issued in NY

Practice address

13801 Springfield Blvd
Springfield Gardens, NY 11413-2632

Phone

(718) 723-7269

Fax

(718) 723-7262

NPI assigned

May 11, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• City Link Corporation

  • Non-emergency Medical Transport (VAN)
  • Springfield Gardens, NY
  • NPI 1396192084
  NPD (past) Authorized official

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1174979850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13801 SPRINGFIELD BLVD",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114132632",
            "telephone_number": "718-723-7269",
            "fax_number": "718-723-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 SPRINGFIELD BLVD",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114132632",
            "telephone_number": "718-723-7269",
            "fax_number": "718-723-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASISI",
        "first_name": "FATAI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "668842755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nerlande Lafond
• Sandrale M Lahens
• Keshia Daniel Laporte, FNP
• Yvette Larose, LPN
• Ruben Lasalle
• Marie-Chantale Lebrun
• Andrea P Lee, M.A.
• Marie L Leroy
• Glendon Lewis
• Life'S Worc

• Non-emergency Medical Transport (VAN) in Springfield Gardens, NY
• Providers in Springfield Gardens, NY by specialty
• Non-emergency Medical Transport (VAN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.