CJ Medi Cab Service LLC

Primary specialty

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

Legal business name

CJ MEDI CAB SERVICE LLC

Practice address

4 Wren St # 1
Amsterdam, NY 12010-5006

Phone

(518) 930-1333

NPI assigned

Oct 16, 2020

Organization subpart

No

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

Authorized official

Name

Satchel Andrew, DO

Title

Co-Owner

Phone

(518) 930-1333

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1225636665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WREN ST # 1",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120105006",
            "telephone_number": "518-705-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WREN ST # 1",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120105006",
            "telephone_number": "518-930-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ MEDI CAB SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "ANDREW",
        "authorized_official_first_name": "SATCHEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "518-930-1333",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05283376",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip Chun
• Blair Lee Ciccarelli, RPA-C
• Joanne E Cimorelli, RDH
• Brooke Marie Cisler, FNP, PMHNP
• City of Amsterdam
• Jeffrey Downey Clark, PHARMD
• Heather Clear-Rossbach, LMSW
• Sharon V Cole
• Joren Anthony Coleman, LMSW
• Jeffrey Joseph Collins, PT, DPT

• Non-emergency Medical Transport (VAN) in Amsterdam, NY
• Providers in Amsterdam, 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 Mar 2, 2021; 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.