Organization Active NPI

Dolphin Medical Transportation Inc

  • Non-emergency Medical Transport (VAN)
  • Brooklyn, NY
National Provider Identifier
1285846519
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
DOLPHIN MEDICAL TRANSPORTATION INC
Practice address
104 Avenue O
Brooklyn, NY 11204-6504
Phone
(718) 234-2207
Fax
(718) 234-7554
NPI assigned
May 7, 2007
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. Oleg Dikshtein
Title
Vice President
Phone
(718) 234-2207

Specialties & licenses 1

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

Addresses

Primary practice location

104 Avenue O
Brooklyn, NY 11204-6504

Mailing address

104 Avenue O
Brooklyn, NY 11204-6504
Phone (718) 234-2207

Other identifiers 1

IdentifierTypeStateIssuer
01882553MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285846519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 AVENUE O",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046504",
            "telephone_number": "718-234-2207",
            "fax_number": "718-234-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 AVENUE O",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046504",
            "telephone_number": "718-234-2207",
            "fax_number": "718-234-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLPHIN MEDICAL TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIKSHTEIN",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "718-234-2207",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "01882553",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, 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.