Active NPI
American Base No 1
- Non-emergency Medical Transport (VAN)
- Bronx, NY
National Provider Identifier
1265081772
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Apr 20, 2026.
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- AMERICAN BASE NO 1
- Practice address
- 3077 3Rd Ave
Bronx, NY 10451-4628 - Phone
- (718) 665-6663
- NPI assigned
- Sep 6, 2019
- Last updated
- Sep 6, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jose Ortiz
- Title
- President
- Phone
- (917) 863-2729
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
3077 3Rd Ave
Bronx, NY 10451-4628
Mailing address
3077 3Rd Ave
Bronx, NY 10451-4628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123456789 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
3077 3rd Ave
Bronx, NY 10451
Phone (718) 665-6663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567728000000",
"number": "1265081772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3077 3RD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104514628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3077 3RD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104514628",
"telephone_number": "718-665-6663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN BASE NO 1",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-06",
"last_updated": "2019-09-06",
"status": "A",
"authorized_official_last_name": "ORTIZ",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-863-2729"
},
"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": "123456789",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.