Active NPI
Lakeville Ambulette Transportation LLC
- Non-emergency Medical Transport (VAN)
- New Hyde Park, NY
National Provider Identifier
1295965606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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 HEALTHCARE
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02975313 | Medicaid | NY |
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
- Lake Success Ophthalmic Associates PC
- Lake Success Periodontics and Implants P.C.
- Lake Success Physical Therapy P.C.
- Lake Success RX Corp
- Lake Success Women'S Medical Care
- Lakeville Chiropractic, PC
- Lakeville Comprehensive Medical Injury Care P.L.L.C
- Lakeville Dental Group. P.C.
- Lakeville Physical Therapy & Acupuncture LLC
- Viera Lakticova, MD
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.