Active NPI
FC-One Transprtation, LLC
- Non-emergency Medical Transport (VAN)
- Bronx, NY
National Provider Identifier
1508311473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- FC-ONE TRANSPRTATION, LLC
- Practice address
- 1738 Eastburn Ave
Bronx, NY 10457-6902 - Phone
- (347) 291-4808
- NPI assigned
- Aug 22, 2016
- 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. Farouk Y. Khan
- Title
- President
- Phone
- (347) 291-4808
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | NY | Primary |
Addresses
Primary practice location
1738 Eastburn Ave
Bronx, NY 10457-6902
Mailing address
1738 Eastburn Ave
Bronx, NY 10457-6902
Phone (347) 291-4808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04159519 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471824000000",
"number": "1508311473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1738 EASTBURN AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104576902",
"telephone_number": "347-291-4808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1738 EASTBURN AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104576902",
"telephone_number": "347-291-4808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FC-ONE TRANSPRTATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-22",
"last_updated": "2016-08-22",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "FAROUK",
"authorized_official_middle_name": "Y.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-291-4808",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04159519",
"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 Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.