Organization Active NPI

Medimobile LLC

  • Taxi
  • Troy, NY
National Provider Identifier
1417590126
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
Legal business name
MEDIMOBILE LLC
Practice address
737 2ND Ave
Troy, NY 12182-2204
Phone
(518) 683-4455
Fax
(518) 514-1177
NPI assigned
Oct 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Authorized official

Name
Michael Karam
Title
Owner
Phone
(518) 683-4455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X Primary

Addresses

Primary practice location

737 2ND Ave
Troy, NY 12182-2204

Mailing address

737 2ND Ave
Troy, NY 12182-2204
Phone (518) 683-4455

Other identifiers 1

IdentifierTypeStateIssuer
03519835MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL TROY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1417590126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 2ND AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121822204",
            "telephone_number": "518-683-4455",
            "fax_number": "518-514-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 2ND AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121822204",
            "telephone_number": "518-683-4455",
            "fax_number": "518-514-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIMOBILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "KARAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-683-4455"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03519835",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TROY",
            "affiliation": "N",
            "address_1": "737 2nd Ave",
            "city": "Troy",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121822204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.