Organization Active NPI

Dependable Ambulette, Inc

  • Non-emergency Medical Transport (VAN)
  • Valley Stream, NY
National Provider Identifier
1255312369
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
02022888 Issued in NY
Legal business name
DEPENDABLE AMBULETTE, INC
Practice address
2 Horton Ave
2ND Floor
Valley Stream, NY 11581-1419
Phone
(516) 596-0830
Fax
(516) 568-2976
NPI assigned
Nov 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Yan Gvinter
Title
Manager
Phone
(516) 596-0830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 02022888 NY Primary

Addresses

Primary practice location

2 Horton Ave
2ND Floor
Valley Stream, NY 11581-1419

Mailing address

2 Horton Ave
2ND Floor
Valley Stream, NY 11581-1419
Phone (516) 596-0830

Other identifiers 1

IdentifierTypeStateIssuer
02022888MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Dependable Ambulette Inc2 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

2 Horton Ave
Fl 2
Valley Stream, NY 11581
Phone (516) 596-0830

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255312369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HORTON AVE",
            "address_2": "2ND FLOOR",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811419",
            "telephone_number": "516-596-0830",
            "fax_number": "516-568-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HORTON AVE",
            "address_2": "2ND FLOOR",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811419",
            "telephone_number": "516-596-0830",
            "fax_number": "516-568-2976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPENDABLE AMBULETTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GVINTER",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-596-0830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "02022888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02022888",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.