Organization Active NPI

Lakeville Ambulette Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • New Hyde Park, NY
National Provider Identifier
1295965606
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
LAKEVILLE AMBULETTE TRANSPORTATION LLC
Practice address
27111 76TH Ave
New Hyde Park, NY 11040-1436
Phone
(718) 289-2100
Fax
(718) 289-2323
NPI assigned
Jul 20, 2009
Organization subpart
Yes
Parent organization
PARKER JEWISH INSTITUTE FOR HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Authorized official

Name
Mr. Robert Werner
Title
Cfo
Phone
(718) 289-2354

Specialties & licenses 1

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

Addresses

Primary practice location

27111 76TH Ave
New Hyde Park, NY 11040-1436

Mailing address

27111 76TH Ave
New Hyde Park, NY 11040-1436
Phone (718) 289-2100

Other identifiers 1

IdentifierTypeStateIssuer
02975313MedicaidNY

National Provider Directory

National Provider Directory
Part of
Rose Chan

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1295965606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27111 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401436",
            "telephone_number": "718-289-2100",
            "fax_number": "718-289-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27111 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401436",
            "telephone_number": "718-289-2100",
            "fax_number": "718-289-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVILLE AMBULETTE TRANSPORTATION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKER JEWISH INSTITUTE FOR HEALTHCARE",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-289-2354",
        "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": "02975313",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.