Organization Active NPI

Shiva Ambulette Service Inc.

  • Non-emergency Medical Transport (VAN)
  • Bronx, NY
National Provider Identifier
1467602508
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
01460388 Issued in NY
Legal business name
SHIVA AMBULETTE SERVICE INC.
Practice address
5582 Broadway
Bronx, NY 10463-5519
Phone
(718) 549-0391
Fax
(718) 549-5951
NPI assigned
Sep 25, 2008
Last updated
Sep 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Mrs. Sunita Mehta
Title
President
Phone
(718) 549-0391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 01460388 NY Primary

Addresses

Primary practice location

5582 Broadway
Bronx, NY 10463-5519

Mailing address

5582 Broadway
Bronx, NY 10463-5519
Phone (718) 549-0391

Other identifiers 1

IdentifierTypeStateIssuer
01460388MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1467602508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5582 BROADWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635519",
            "telephone_number": "718-549-0391",
            "fax_number": "718-549-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5582 BROADWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635519",
            "telephone_number": "718-549-0391",
            "fax_number": "718-549-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVA AMBULETTE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "SUNITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-549-0391",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "01460388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01460388",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.