3210 Webster Ave Prestige Car Service

Primary specialty

TaxiTaxonomy code 344600000X

License

B01338 Issued in NY

Legal business name

3210 WEBSTER AVE PRESTIGE CAR SERVICE

Practice address

3108 Webster Avenue
Bronx, NY 10467

Phone

(718) 654-3852

NPI assigned

Sep 22, 2016

Last updated

Sep 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Felix Z Medrano

Title

Manager

Phone

(718) 654-3852

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1316496128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 WEBSTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104674902",
            "telephone_number": "718-654-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 WEBSTER AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-654-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3210 WEBSTER AVE PRESTIGE CAR SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "MEDRANO",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-654-3852",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "B01338",
            "primary": false
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "NY",
            "license": "B01338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ETIN",
            "identifier": "04114178",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Taxi in Bronx, NY
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• Taxi in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.