Active NPI
Starette Ambulette Inc
- Non-emergency Medical Transport (VAN)
- Brooklyn, NY
National Provider Identifier
1336281740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 02623027
- Legal business name
- STARETTE AMBULETTE INC
- Practice address
- 919 E 107TH St
Brooklyn, NY 11236-3013 - Phone
- (718) 272-0068
- NPI assigned
- Feb 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Yan M Gvinter
- Title
- Maneger
- Phone
- (718) 272-0068
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 02623027 | NY | Primary |
Addresses
Primary practice location
919 E 107TH St
Brooklyn, NY 11236-3013
Mailing address
919 E 107TH St
Brooklyn, NY 11236-3013
Phone (718) 272-0068
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02623027 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1336281740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 E 107TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112363013",
"telephone_number": "718-272-0068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 E 107TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112363013",
"telephone_number": "718-272-0068"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STARETTE AMBULETTE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GVINTER",
"authorized_official_first_name": "YAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MANEGER",
"authorized_official_telephone_number": "718-272-0068",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NY",
"license": "02623027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02623027",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.