Organization Active NPI

Empire State Medi-Cab, Inc.

  • Non-emergency Medical Transport (VAN)
  • Melville, NY
National Provider Identifier
1285880054
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
EMPIRE STATE MEDI-CAB, INC.
Practice address
555 Broadhollow Road, Suite 272
Melville, NY 11747-5001
Phone
(631) 777-7333
Fax
(631) 777-7335
NPI assigned
Aug 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert Gonzalez
Title
President
Phone
(631) 777-7333

Specialties & licenses 1

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

Addresses

Primary practice location

555 Broadhollow Road, Suite 272
Melville, NY 11747-5001

Mailing address

555 Broadhollow Road, Suite 272
Melville, NY 11747-5001
Phone (631) 777-7333

Other identifiers 1

IdentifierTypeStateIssuer
02645687MedicaidNY

National Provider Directory

National Provider Directory

Locations

555 Broadhollow Rd
Ste 272
Melville, NY 11747
Phone (631) 777-7333

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1285880054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BROADHOLLOW ROAD, SUITE 272",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475001",
            "telephone_number": "631-777-7333",
            "fax_number": "631-777-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BROADHOLLOW ROAD, SUITE 272",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475001",
            "telephone_number": "631-777-7333",
            "fax_number": "631-777-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE STATE MEDI-CAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-777-7333",
        "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": "02645687",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.