Organization Active NPI

Starette Ambulette Inc

  • Non-emergency Medical Transport (VAN)
  • Brooklyn, NY
National Provider Identifier
1336281740
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
02623027 Issued in NY
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02623027MedicaidNY

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.