Organization Active NPI

Black Car Express.Com Corp

  • Taxi
  • Port Washington, NY
National Provider Identifier
1417494741
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
B03022 Issued in NY
Legal business name
BLACK CAR EXPRESS.COM CORP
Practice address
8 Maple St Ste 4
Port Washington, NY 11050-2962
Phone
(516) 472-0811
Fax
(516) 472-0812
NPI assigned
Jan 25, 2017
Last updated
Dec 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Authorized official

Name
Mr. Jan Carlos Zabala
Title
President
Phone
(516) 472-0811

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU
Secured Medical Transport (VAN) 343800000X NU
Non-emergency Medical Transport (VAN) 343900000X NU
Taxi 344600000X B03022 NY Primary
Transportation Broker 347E00000X NU
Transportation Network Company 342000000X NU

Addresses

Primary practice location

8 Maple St Ste 4
Port Washington, NY 11050-2962

Mailing address

8 Maple St
Suite 4
Port Washington, NY 11050-2960
Phone (516) 472-0811

Other practice location 1

10609 Jamaica Ave
Richmond Hill, NY 11418-2016
Phone (516) 472-0811

Other identifiers 1

IdentifierTypeStateIssuer
000000MedicaidNY

National Provider Directory

National Provider Directory

Locations

10609 Jamaica Ave
Richmond Hill, NY 11418
Phone (516) 472-0811

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1417494741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MAPLE ST",
            "address_2": "SUITE 4",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502960",
            "telephone_number": "516-472-0811",
            "fax_number": "516-472-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MAPLE ST STE 4",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502962",
            "telephone_number": "516-472-0811",
            "fax_number": "516-472-0812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10609 Jamaica Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "NY",
            "postal_code": "114182016",
            "country_code": "US",
            "telephone_number": "516-472-0811",
            "fax_number": "516-472-0812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLACK CAR EXPRESS.COM CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "ZABALA",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-472-0811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "NY",
            "license": "B03022",
            "primary": true
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.