Organization Active NPI

Lake Ave Medical Transportation Inc

Doing business as Lake Ave. Medical Transportaion INC

  • Taxi
  • Yonkers, NY
National Provider Identifier
1326226135
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
Legal business name
LAKE AVE MEDICAL TRANSPORTATION INC
Doing business as
Lake Ave. Medical Transportaion INC
Practice address
9 Edgewood Ave
#2
Yonkers, NY 10704-2503
Phone
(914) 376-1700
Fax
(914) 375-2318
NPI assigned
Feb 4, 2008
Last updated
Feb 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Georgia Moore
Title
Owner
Phone
(914) 376-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X NU Primary

Addresses

Primary practice location

9 Edgewood Ave
#2
Yonkers, NY 10704-2503

Mailing address

9 Edgewood Ave
#2
Yonkers, NY 10704-2503
Phone (914) 376-1700

Other identifiers 1

IdentifierTypeStateIssuer
02934307MedicaidNY

Other names 1

  • Lake Ave. Medical Transportaion INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lake Ave Medical Transportaion Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1326226135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EDGEWOOD AVE",
            "address_2": "#2",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107042503",
            "telephone_number": "914-376-1700",
            "fax_number": "914-375-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 EDGEWOOD AVE",
            "address_2": "#2",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107042503",
            "telephone_number": "914-376-1700",
            "fax_number": "914-375-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE AVE MEDICAL TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-376-1700"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02934307",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Ave. Medical Transportaion INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.