Organization Active NPI

California Medtrans Network Ipa LLC

  • Transportation Broker
  • Islandia, NY
National Provider Identifier
1275947442
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
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

Updated by the provider on Sep 16, 2019

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.