Organization Active NPI

Juniors Luxury Inc

  • Non-emergency Medical Transport (VAN)
  • Brooklyn, NY
National Provider Identifier
1427612605
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
JUNIORS LUXURY INC
Practice address
1509 Cortelyou Rd
Brooklyn, NY 11226-5607
Phone
(718) 859-1111
Fax
(718) 462-6867
NPI assigned
Apr 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Authorized official

Name
Mr. Raul Izquierdo Jr.
Title
President
Phone
(718) 690-4306

Specialties & licenses 1

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

Addresses

Primary practice location

1509 Cortelyou Rd
Brooklyn, NY 11226-5607

Mailing address

6809 3Rd Ave
Brooklyn, NY 11220-5828
Phone (718) 940-1919

Other identifiers 1

IdentifierTypeStateIssuer
1427612605MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1427612605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205828",
            "telephone_number": "718-940-1919",
            "fax_number": "718-462-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 CORTELYOU RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265607",
            "telephone_number": "718-859-1111",
            "fax_number": "718-462-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIORS LUXURY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "IZQUIERDO",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-690-4306",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427612605",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.