Black Sea Transportation, Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

B90579 Issued in NY

Legal business name

BLACK SEA TRANSPORTATION, INC

Practice address

1754 Hylan Blvd FL 2
Staten Island, NY 10305-1932

Phone

(718) 605-1200

Fax

(718) 605-0206

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Mogilevskiy

Title

Vise President

Phone

(718) 605-1200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427279363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MICHAEL CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082020",
            "telephone_number": "718-605-1200",
            "fax_number": "718-605-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 HYLAN BLVD FL 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051932",
            "telephone_number": "718-605-1200",
            "fax_number": "718-605-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK SEA TRANSPORTATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOGILEVSKIY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VISE PRESIDENT",
        "authorized_official_telephone_number": "718-605-1200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "B90579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02386469",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Non-emergency Medical Transport (VAN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.