Organization Active NPI

Ava Ambulette Corp

  • Non-emergency Medical Transport (VAN)
  • Brooklyn, NY
National Provider Identifier
1295040459
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
B90685 Issued in NY
Legal business name
AVA AMBULETTE CORP
Practice address
1811 Stillwell Ave
Brooklyn, NY 11223-2419
Phone
(718) 975-2000
Fax
(718) 975-1999
NPI assigned
Aug 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Authorized official

Name
Mr. Amiran Arsenyan
Title
Vise President
Phone
(718) 975-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X B90685 NY Primary

Addresses

Primary practice location

1811 Stillwell Ave
Brooklyn, NY 11223-2419

Mailing address

1811 Stillwell Ave
Brooklyn, NY 11223-2419
Phone (718) 975-2000

Other identifiers 1

IdentifierTypeStateIssuer
03218251MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1295040459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 STILLWELL AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232419",
            "telephone_number": "718-975-2000",
            "fax_number": "718-975-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 STILLWELL AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232419",
            "telephone_number": "718-975-2000",
            "fax_number": "718-975-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVA AMBULETTE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "ARSENYAN",
        "authorized_official_first_name": "AMIRAN",
        "authorized_official_title_or_position": "VISE PRESIDENT",
        "authorized_official_telephone_number": "718-975-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "B90685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03218251",
            "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 12, 2010; 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.