Organization Active NPI

Quautum LLC

  • Preferred Provider Organization
  • Brooklyn, NY
National Provider Identifier
1609114602
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
QUAUTUM LLC
Practice address
419 Saratoga Ave
Brooklyn, NY 11233-4708
Phone
(917) 631-8500
Fax
(347) 627-5444
NPI assigned
Jan 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Authorized official

Name
Mr. Marshall Peaches
Title
Owner
Phone
(917) 631-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

419 Saratoga Ave
Brooklyn, NY 11233-4708

Mailing address

419 Saratoga Ave
Brooklyn, NY 11233-4708
Phone (917) 631-8500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1609114602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 SARATOGA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112334708",
            "telephone_number": "917-631-8500",
            "fax_number": "347-627-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 SARATOGA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112334708",
            "telephone_number": "917-631-8500",
            "fax_number": "347-627-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAUTUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "PEACHES",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-631-8500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 25, 2013; 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.