Individual provider Active NPI

Anderson Vernot

  • Non-emergency Medical Transport (VAN)
  • Wyandanch, NY
National Provider Identifier
1376409052
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
708135419 Issued in NY
Practice address
117 S 25TH St
Wyandanch, NY 11798-2906
Phone
(631) 482-6281
NPI assigned
Dec 26, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X 708135419 NY
Non-emergency Medical Transport (VAN) 343900000X 708135419 NY Primary

Addresses

Primary practice location

117 S 25TH St
Wyandanch, NY 11798-2906

Mailing address

117 S 25TH St
Wyandanch, NY 11798-2906
Phone (631) 482-6281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
708135419NYMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1766707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1376409052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S 25TH ST",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117982906",
            "telephone_number": "631-482-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S 25TH ST",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117982906",
            "telephone_number": "631-482-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNOT",
        "first_name": "ANDERSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-26",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NY",
            "license": "708135419",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "708135419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandanch, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; 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.