Super Class Radio Dispatch Inc

Primary specialty

TaxiTaxonomy code 344600000X

License

B01726 Issued in NY

Legal business name

SUPER CLASS RADIO DISPATCH INC

Practice address

1831 Grand Concourse FRNT C
Bronx, NY 10453-6324

Phone

(718) 365-6691

Fax

(718) 364-7777

NPI assigned

Oct 25, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Juan PenaNPI 1255733523

Title

President

Phone

(718) 365-6691

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juan Pena

  • Foot & Ankle Surgery Podiatrist
  • Bronx, NY
  • NPI 1255733523
  Authorized official Same address or phone

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1346752771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 GRAND CONCOURSE FRNT C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104536324",
            "telephone_number": "718-365-6691",
            "fax_number": "718-364-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 GRAND CONCOURSE FRNT C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104536324",
            "telephone_number": "718-365-6691",
            "fax_number": "718-364-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER CLASS RADIO DISPATCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-365-6691",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "NY",
            "license": "B01726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04026528",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Taxi in Bronx, NY
• Providers in Bronx, NY by specialty
• Taxi in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.