Organization Active NPI

Fastech Consulting LLC.

  • Non-emergency Medical Transport (VAN)
  • Fairfield, CT
National Provider Identifier
1326370149
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
FASTECH CONSULTING LLC.
Practice address
775 Tahmore Dr
Fairfield, CT 06825-2515
Phone
(203) 521-7405
NPI assigned
Feb 3, 2010
Last updated
Feb 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Mr. Kuriakose Pannikodu
Title
President
Phone
(203) 521-7405

Specialties & licenses 1

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

Addresses

Primary practice location

775 Tahmore Dr
Fairfield, CT 06825-2515

Mailing address

775 Tahmore Dr
Fairfield, CT 06825-2515

Other identifiers 1

IdentifierTypeStateIssuer
03169519MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1326370149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 TAHMORE DR",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068252515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 TAHMORE DR",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068252515",
            "telephone_number": "203-521-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTECH CONSULTING LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "PANNIKODU",
        "authorized_official_first_name": "KURIAKOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-521-7405",
        "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": "03169519",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.