Active NPI
Black Car Express.Com Corp
- Taxi
- Port Washington, NY
National Provider Identifier
1417494741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Taxi
- License
- B03022
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.