Active NPI
California Medtrans Network Ipa LLC
- Transportation Broker
- Islandia, NY
National Provider Identifier
1275947442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- Legal business name
- CALIFORNIA MEDTRANS NETWORK IPA LLC
- Practice address
- 2950 Express Dr S
Islandia, NY 11749-1400 - Phone
- (631) 389-2098
- NPI assigned
- Jun 16, 2014
- 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
- Andrew Winakor
- Title
- Ceo
- Phone
- (516) 807-9324
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | Primary |
Addresses
Primary practice location
2950 Express Dr S
Islandia, NY 11749-1400
Mailing address
992 S 2ND St
Ronkonkoma, NY 11779-7204
National Provider Directory
National Provider DirectoryLocations
2950 Express Dr S
Islandia, NY 11749
Phone (631) 389-2098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568592000000",
"number": "1275947442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "992 S 2ND ST",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117797204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 EXPRESS DR S",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117491400",
"telephone_number": "631-389-2098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA MEDTRANS NETWORK IPA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-16",
"last_updated": "2019-09-16",
"status": "A",
"authorized_official_last_name": "WINAKOR",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "516-807-9324"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Islandia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.