Medic East Corp

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MEDIC EAST CORP

Practice address

700 Havemeyer Ave
Bronx, NY 10473-1102

Phone

(718) 430-9700

Fax

(718) 430-1528

NPI assigned

Aug 7, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Michael Vatch, MPA, LNHA, CCEMT-P

Title

Ceo

Phone

(718) 430-9700

Specialties & licenses 1

Addresses

Other names 1

• SeniorCare Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1609208149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HAVEMEYER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104731102",
            "telephone_number": "718-430-9700",
            "fax_number": "718-430-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HAVEMEYER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104731102",
            "telephone_number": "718-430-9700",
            "fax_number": "718-430-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIC EAST CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "VATCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-430-9700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA, LNHA, CCEMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SeniorCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dalia Medel Ventura
• Marta Soraya Medenard, RN
• Natalia Y Medero, LAC
• Sean Medford, RN
• Fitsumberhan Girma Medhane
• Medic East II Corp
• Medical Care of Ny PC
• Medical Care of Ny PC
• Medical Center Pharmacy, Inc.
• Medical Diagnostic Nephrology, PC

• Land Ambulance in Bronx, NY
• Providers in Bronx, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.