Ardit Islamaj
Individual provider Active NPI Driver · Worcester, MA
NPI 1265830707 · NPPES record last updated Dec 16, 2014
Key facts
- NPI
- 1265830707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- S84690575 (MA)
- Practice address
- 38 S Lenox St
Worcester, MA 01602-2522 - Phone
- (508) 340-2129
- NPI assigned
- Dec 16, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S84690575 | MA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Instant Transportation, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | S84690575 | MA | Yes |
Addresses
Primary practice location
38 S Lenox St
Worcester, MA 01602-2522
Mailing address
38 S Lenox St
Worcester, MA 01602-2522
Phone (508) 340-2129
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.