Organization Active NPI

Champion Car and Limo Service

  • Taxi
  • Corona, NY
National Provider Identifier
1235580028
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
B00350 Issued in NY
Legal business name
CHAMPION CAR AND LIMO SERVICE
Practice address
10704 37TH Ave
Corona, NY 11368-2047
Phone
(718) 779-8080
Fax
(718) 779-4163
NPI assigned
Jun 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Jonny Ferreira
Title
President
Phone
(718) 779-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X B00350 NY Primary

Addresses

Primary practice location

10704 37TH Ave
Corona, NY 11368-2047

Mailing address

10704 37TH Ave
Corona, NY 11368-2047
Phone (718) 779-8080

Other identifiers 1

IdentifierTypeStateIssuer
4344450MedicaidNY

National Provider Directory

National Provider Directory

Locations

10704 37th Ave
Corona, NY 11368
Phone (718) 779-8080

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1235580028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10704 37TH AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682047",
            "telephone_number": "718-779-8080",
            "fax_number": "718-779-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10704 37TH AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682047",
            "telephone_number": "718-779-8080",
            "fax_number": "718-779-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION CAR AND LIMO SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "FERREIRA",
        "authorized_official_first_name": "JONNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-779-8080"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "NY",
            "license": "B00350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4344450",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.