Organization Active NPI

Mercedes Ambulette Service LLC

  • Non-emergency Medical Transport (VAN)
  • Bronx, NY
National Provider Identifier
1386037448
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
00923840 Issued in NY
Legal business name
MERCEDES AMBULETTE SERVICE LLC
Practice address
1053 Summit Ave Apt 2
Bronx, NY 10452-5003
Phone
(917) 517-5298
NPI assigned
Mar 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Antonio Aquino
Title
Managing Member
Phone
(917) 517-5298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 00923840 NY Primary

Addresses

Primary practice location

1053 Summit Ave Apt 2
Bronx, NY 10452-5003

Mailing address

1053 Summit Ave Apt 2
Bronx, NY 10452-5003

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1386037448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 SUMMIT AVE APT 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104525003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 SUMMIT AVE APT 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104525003",
            "telephone_number": "917-517-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCEDES AMBULETTE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "917-517-5298"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "00923840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.