Organization Active NPI

Charlie Black Car Inc

  • Taxi
  • Flushing, NY
National Provider Identifier
1609255892
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
B02723 Issued in NY
Legal business name
CHARLIE BLACK CAR INC
Practice address
16210 Crocheron Ave
2ND Floor
Flushing, NY 11358-1631
Phone
(201) 666-2222
Fax
(888) 565-4351
NPI assigned
May 21, 2015
Last updated
May 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Mr. Charles Hankuk Bai
Title
President
Phone
(201) 666-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X B02723 NY Primary

Addresses

Primary practice location

16210 Crocheron Ave
2ND Floor
Flushing, NY 11358-1631

Mailing address

16210 Crocheron Ave
2ND Floor
Flushing, NY 11358-1631
Phone (201) 666-2222

Other identifiers 1

IdentifierTypeStateIssuer
03974861MedicaidNY

National Provider Directory

National Provider Directory

Locations

16210 Crocheron Ave
Ste 2
Flushing, NY 11358
Phone (201) 666-2222

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1609255892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16210 CROCHERON AVE",
            "address_2": "2ND FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581631",
            "telephone_number": "201-666-2222",
            "fax_number": "888-565-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16210 CROCHERON AVE",
            "address_2": "2ND FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581631",
            "telephone_number": "201-666-2222",
            "fax_number": "888-565-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLIE BLACK CAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "BAI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "HANKUK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-666-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "NY",
            "license": "B02723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03974861",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.